Degennaro, Louis Patrick

Degennaro, Louis Patrick is an individual health care provider with primary practice located at 940 Jefferson Ave , Scranton PA 18510-1007. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Degennaro, Louis Patrick can be contacted via phone (570) 346-7900.

Contact Information

Primary practice address
940 Jefferson Ave Scranton PA 18510-1007
Phone: (570) 346-7900
Fax: (570) 963-5060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD010124E Pennsylvania

Profile Details

NPI number 1861492266
LBN Legal business name Degennaro, Louis Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Apr 20th, 2012 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861492266 NPPES
Pennsylvania MEDICAID 0009356960002

Popular Providers