Cetkowski, Richard T

Cetkowski, Richard T is an individual health care provider with primary practice located at 446 N Reading Rd Suite 301, Ephrata PA 17522-9802. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Cetkowski, Richard T can be contacted via phone (717) 733-6546.

Contact Information

Primary practice address
446 N Reading Rd Suite 301 Ephrata PA 17522-9802
Phone: (717) 733-6546
Fax: (717) 733-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP009127 Pennsylvania

Profile Details

NPI number 1356444517
LBN Legal business name Cetkowski, Richard T
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated May 17th, 2016 - about 10 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 1356444517 NPPES
Pennsylvania Other 1568941 GATEWAY-WMG
Pennsylvania Other 50073194 GATEWAY-WMG
Pennsylvania Other 212350 GATEWAY-WMG
Pennsylvania MEDICAID 102211740 GATEWAY-WMG
Pennsylvania Other 1926547 GATEWAY-WMG

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