Dzambo, Allen A

Dzambo, Allen A is an sole proprietor health care provider with primary practice located at 1200 Jefferson St , Latrobe PA 15650-1915. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Dzambo, Allen A can be contacted via phone (724) 539-3444.

Contact Information

Primary practice address
1200 Jefferson St Latrobe PA 15650-1915
Phone: (724) 539-3444
Fax: (724) 539-4133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC004642L Pennsylvania

Profile Details

NPI number 1174503791
LBN Legal business name Dzambo, Allen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2006
Last updated Dec 21st, 2011 - about 13 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 1174503791 NPPES
Pennsylvania MEDICAID 0017663730004
Pennsylvania Other 001799222
Pennsylvania MEDICAID 0017663730003

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