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
Fax: (570) 342-3316
Website:

Health care specialties

SpecialtyCodeLicense #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 11 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 1407845191 NPPES
Pennsylvania MEDICAID 0010414380005

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