Dodge, Nicholas David

Dodge, Nicholas David is an sole proprietor health care provider with primary practice located at 414 E Drinker St Ste 204 , Dunmore PA 18512-2469. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dodge, Nicholas David can be contacted via phone (570) 344-5115.

Contact Information

Primary practice address
414 E Drinker St Ste 204 Dunmore PA 18512-2469
Phone: (570) 344-5115
Fax: (570) 344-2123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD054271L Pennsylvania

Profile Details

NPI number 1679534226
LBN Legal business name Dodge, Nicholas David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Dec 6th, 2023 - about 2 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 1679534226 NPPES
Pennsylvania Other 002981 FIRST PRIORITY HMO
Pennsylvania Other 616633 FIRST PRIORITY HMO
Pennsylvania MEDICAID 001508646 FIRST PRIORITY HMO
Pennsylvania Other 616633 FIRST PRIORITY HMO
Pennsylvania Other P00025321 FIRST PRIORITY HMO
Pennsylvania Other 1679534226 FIRST PRIORITY HMO

Popular Providers