Durrwachter, Kenneth Robert
Durrwachter, Kenneth Robert is an individual health care provider with primary practice located at 1705 Warren Ave Suite 208, Williamsport PA 17701-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Durrwachter, Kenneth Robert can be contacted via phone (570) 601-6230.Contact Information
Primary practice address
1705 Warren Ave Suite 208
Williamsport PA 17701-2647
Phone: (570) 601-6230
Fax: (570) 601-6232
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD045039L | Pennsylvania |
Profile Details
NPI number | 1992702682 |
---|---|
LBN Legal business name | Durrwachter, Kenneth Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 7th, 2005 |
Last updated | Jul 27th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992702682 | NPPES |
Pennsylvania | Other | 1147510 | CIGNA |
Pennsylvania | Other | 5664476 | CIGNA |
Pennsylvania | Other | 721386 | CIGNA |
Pennsylvania | Other | 1279162 | CIGNA |
Pennsylvania | Other | 7420 | CIGNA |
Pennsylvania | MEDICAID | 0012837330009 | CIGNA |
Pennsylvania | Other | 002787 | CIGNA |
Pennsylvania | Other | F26620 | CIGNA |
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