Durisek, Debbie Loretta

Durisek, Debbie Loretta is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Durisek, Debbie Loretta can be contacted via phone (717) 859-4454.

Contact Information

Primary practice address
169 Martin Ave Ephrata PA 17522-1724
Fax: (717) 859-4475
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD030348E Pennsylvania

Profile Details

NPI number 1881620409
LBN Legal business name Durisek, Debbie Loretta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Apr 2nd, 2009 - about 15 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 1881620409 NPPES
Pennsylvania MEDICAID 0010501410024

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