Cortese, Gary A
Cortese, Gary A is an sole proprietor health care provider with primary practice located at 1626 Mount Hope Ave , Pottsville PA 17901-1302. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Cortese, Gary A can be contacted via phone (570) 622-2230.Contact Information
Primary practice address
1626 Mount Hope Ave
Pottsville PA 17901-1302
Phone: (570) 622-2230
Fax: (570) 622-5724
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | SC002264L | Pennsylvania |
Profile Details
NPI number | 1497759336 |
---|---|
LBN Legal business name | Cortese, Gary A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 9th, 2005 |
Last updated | Nov 20th, 2012 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497759336 | NPPES |
Pennsylvania | MEDICAID | 0012668300003 |
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