Desimone, Jeffrey F

Desimone, Jeffrey F is an sole proprietor health care provider with primary practice located at 2 E Maitland Ln , New Castle PA 16105-1248. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Desimone, Jeffrey F can be contacted via phone (724) 658-4700.

Contact Information

Primary practice address
2 E Maitland Ln New Castle PA 16105-1248
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001767 Pennsylvania

Profile Details

NPI number 1982600243
LBN Legal business name Desimone, Jeffrey F
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Aug 24th, 2012 - about 12 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 1982600243 NPPES
Pennsylvania Other 410006252 MEDICARE RR
Pennsylvania MEDICAID 0014582400002 MEDICARE RR

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