Farley, Traci Louise

Farley, Traci Louise is an individual health care provider with primary practice located at 1 Hospital Dr , Lewisburg PA 17837-9314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Farley, Traci Louise can be contacted via phone (570) 522-4110.

Contact Information

Primary practice address
1 Hospital Dr Lewisburg PA 17837-9314
Phone: (570) 522-4110
Fax: (570) 768-3911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD425385 Pennsylvania

Profile Details

NPI number 1376564013
LBN Legal business name Farley, Traci Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated May 24th, 2022 - about 2 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 1376564013 NPPES
Pennsylvania Other 1671113 BLUE SHIELD
Pennsylvania Other 321845 BLUE SHIELD
Pennsylvania Other 50044509 BLUE SHIELD
Pennsylvania Other P00190420 BLUE SHIELD
Pennsylvania MEDICAID 1012034590001 BLUE SHIELD
Pennsylvania Other 232809429 BLUE SHIELD

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