Deck, Charles S
Deck, Charles S is an sole proprietor health care provider with primary practice located at 501 S Washington Ave Ste 1000 , Scranton PA 18505-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deck, Charles S can be contacted via phone (570) 941-0630.Contact Information
Primary practice address
501 S Washington Ave Ste 1000
Scranton PA 18505-3814
Phone: (570) 941-0630
Fax: (570) 230-0013
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD024647E | Pennsylvania |
Profile Details
NPI number | 1982698866 |
---|---|
LBN Legal business name | Deck, Charles S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 7th, 2005 |
Last updated | Feb 21st, 2022 - about 3 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 | 1982698866 | NPPES |
Pennsylvania | MEDICAID | 0001495889001 |
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