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:
Health care specialties
Specialty | Code | License # | 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 11 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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