Emanuelson, Richard G
Emanuelson, Richard G is an individual health care provider with primary practice located at 1100 Meade St , Dunmore PA 18512-3169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Emanuelson, Richard G can be contacted via phone (570) 342-3675.Contact Information
Primary practice address
1100 Meade St
Dunmore PA 18512-3169
Phone: (570) 342-3675
Fax: (570) 342-3316
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD035339E | Pennsylvania |
Profile Details
NPI number | 1407845191 |
---|---|
LBN Legal business name | Emanuelson, Richard G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 17th, 2005 |
Last updated | Feb 22nd, 2013 - about 12 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 | 1407845191 | NPPES |
Pennsylvania | MEDICAID | 0010414380005 |
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