Debacco, Paul

Debacco, Paul is an individual health care provider with primary practice located at 1161 Mcdermott Dr. Suite 101, West Chester PA 19380-4042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Debacco, Paul can be contacted via phone (610) 701-7011.

Contact Information

Primary practice address
1161 Mcdermott Dr. Suite 101 West Chester PA 19380-4042
Phone: (610) 701-7011
Fax: (610) 429-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD054772L Pennsylvania

Profile Details

NPI number 1013987783
LBN Legal business name Debacco, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Oct 20th, 2011 - about 13 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 1013987783 NPPES
Pennsylvania Other 232359401 MAIN LINE HEALTHCARE
Pennsylvania MEDICAID 001541257 MAIN LINE HEALTHCARE

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