Campanella, Cary L
Campanella, Cary L is an individual health care provider with primary practice located at 4131A Oregon Pike , Ephrata PA 17522-9550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Campanella, Cary L can be contacted via phone (717) 859-1123.Contact Information
Primary practice address
4131A Oregon Pike
Ephrata PA 17522-9550
Phone: (717) 859-1123
Fax: (717) 859-2898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD043645L | Pennsylvania |
Profile Details
| NPI number | 1184817454 |
|---|---|
| LBN Legal business name | Campanella, Cary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2007 |
| Last updated | Jun 4th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184817454 | NPPES |
| Other | P008121 | GATEWAY | |
| Other | 104665 | GATEWAY | |
| Other | 50071670 | GATEWAY | |
| MEDICAID | 0014220780009 | GATEWAY |
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