Deacon, Robert E.

Deacon, Robert E. is an individual health care provider with primary practice located at 250 College Ave , Beaver PA 15009-2706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deacon, Robert E. can be contacted via phone (724) 774-4070.

Contact Information

Primary practice address
250 College Ave Beaver PA 15009-2706
Phone: (724) 774-4070
Fax: (724) 774-2872
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD069289L Pennsylvania

Profile Details

NPI number 1245222496
LBN Legal business name Deacon, Robert E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 5th, 2015 - about 11 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 1245222496 NPPES
Pennsylvania MEDICAID 01782644

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