Digiacomo, Paul R.

Digiacomo, Paul R. is an individual health care provider with primary practice located at 775 Norman Dr , Lebanon PA 17042-7497. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Digiacomo, Paul R. can be contacted via phone (717) 274-5500.

Contact Information

Primary practice address
775 Norman Dr Lebanon PA 17042-7497
Fax: (717) 202-0330
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD011943E Pennsylvania

Profile Details

NPI number 1518944628
LBN Legal business name Digiacomo, Paul R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Jul 9th, 2007 - about 18 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 1518944628 NPPES
Pennsylvania MEDICAID 0006428090005

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