Deaugustine, Carlo J

Deaugustine, Carlo J is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deaugustine, Carlo J can be contacted via phone (717) 782-5908.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Fax: (717) 782-5716
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS004246L Pennsylvania

Profile Details

NPI number 1841241577
LBN Legal business name Deaugustine, Carlo J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 7th, 2015 - about 9 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 1841241577 NPPES
Pennsylvania MEDICAID 000805010

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