Carl, David A.

Carl, David A. is an individual health care provider with primary practice located at 675 Baltimore Dr , Wilkes Barre PA 18702-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Carl, David A. can be contacted via phone (570) 808-5441.

Contact Information

Primary practice address
675 Baltimore Dr Wilkes Barre PA 18702-7900
Fax: (570) 808-5371
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD030375E Pennsylvania

Profile Details

NPI number 1609841535
LBN Legal business name Carl, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jul 31st, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609841535 NPPES
Pennsylvania MEDICAID 001040501

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