Fonash, Theresa M

Fonash, Theresa M is an sole proprietor health care provider with primary practice located at 700 E Broad St , Hazleton PA 18201-6835. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fonash, Theresa M can be contacted via phone (570) 501-4193.

Contact Information

Primary practice address
700 E Broad St Hazleton PA 18201-6835
Phone: (570) 501-4193
Fax: (570) 501-4109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD044637E Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD044637E Pennsylvania

Profile Details

NPI number 1588630677
LBN Legal business name Fonash, Theresa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2006
Last updated Jan 25th, 2024 - about 10 months 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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