Concilus, Robert R

Concilus, Robert R is an individual health care provider with primary practice located at 1034 Grove St , Meadville PA 16335-2945. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Concilus, Robert R can be contacted via phone (814) 333-5736.

Contact Information

Primary practice address
1034 Grove St Meadville PA 16335-2945
Phone: (814) 333-5736
Fax: (814) 333-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD027700E Pennsylvania

Profile Details

NPI number 1467496273
LBN Legal business name Concilus, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1467496273 NPPES
Pennsylvania MEDICAID 0011352490005
Pennsylvania Other 00002753
Pennsylvania Other 410609

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