Commonwealth Physician Network Llc
LBN: Commonwealth Physician Network Llc
Commonwealth Physician Network Llc is an health care organization with primary practice located at 4 E Main St , Nanticoke PA 18634-1602. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Commonwealth Physician Network Llc can be contacted via phone (570) 735-7474, or through Jackson, Jennifer L via phone (877) 892-9815.
Contact Information
Primary practice address
4 E Main St
Nanticoke PA 18634-1602
Phone: (570) 735-7474
Fax: (570) 735-2921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1003238635 |
|---|---|
| LBN Legal business name | Commonwealth Physician Network Llc |
| DBA Doing business as | |
| Authorized official | Jackson, Jennifer L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2014 |
| Last updated | Jan 25th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003238635 | NPPES |
| Pennsylvania | MEDICAID | 102897748 0001 |
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