Conaboy, Patrick D

Conaboy, Patrick D is an individual health care provider with primary practice located at 802 Jefferson Ave , Scranton PA 18510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conaboy, Patrick D can be contacted via phone (570) 346-7331.

Contact Information

Primary practice address
802 Jefferson Ave Scranton PA 18510
Fax: (570) 346-0411
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD043012E Pennsylvania

Profile Details

NPI number 1942289772
LBN Legal business name Conaboy, Patrick D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jan 10th, 2022 - about 2 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 1942289772 NPPES
Pennsylvania MEDICAID 001411216

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