Desjardins, George P

Desjardins, George P is an individual health care provider with primary practice located at 215 N 12Th St , Reading PA 19604-2915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Desjardins, George P can be contacted via phone (610) 371-7700.

Contact Information

Primary practice address
215 N 12Th St Reading PA 19604-2915
Phone: (610) 371-7700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD016520E Pennsylvania

Profile Details

NPI number 1114979333
LBN Legal business name Desjardins, George P
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 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 1114979333 NPPES
Pennsylvania MEDICAID 0977490

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