Dedeoglu, Ismail O.

Dedeoglu, Ismail O. is an individual health care provider with primary practice located at 21 Geisinger Ln , Lewistown PA 17044-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dedeoglu, Ismail O. can be contacted via phone (717) 242-4200.

Contact Information

Primary practice address
21 Geisinger Ln Lewistown PA 17044-3400
Phone: (717) 242-4200
Fax: (717) 242-4212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD064845L Pennsylvania

Profile Details

NPI number 1104892355
LBN Legal business name Dedeoglu, Ismail O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Aug 21st, 2020 - about 4 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 1104892355 NPPES
Pennsylvania MEDICAID 001688141

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