Deluca, Amy L

Deluca, Amy L is an individual health care provider with primary practice located at 2645 N 3Rd St , Harrisburg PA 17110-2001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Deluca, Amy L can be contacted via phone (717) 782-4650.

Contact Information

Primary practice address
2645 N 3Rd St Harrisburg PA 17110-2001
Fax: (717) 782-4665
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS012746 Pennsylvania

Profile Details

NPI number 1073570438
LBN Legal business name Deluca, Amy L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Apr 12th, 2016 - about 9 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 1073570438 NPPES
Pennsylvania MEDICAID 0019552450005

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