Deforno, Donald Jack

Deforno, Donald Jack is an individual health care provider with primary practice located at 700 South Ave , Bradford PA 16701-3978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Deforno, Donald Jack can be contacted via phone (814) 368-7066.

Contact Information

Primary practice address
700 South Ave Bradford PA 16701-3978
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD038787E Pennsylvania

Profile Details

NPI number 1942262803
LBN Legal business name Deforno, Donald Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942262803 NPPES
Pennsylvania MEDICAID 0014261480008

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