Foulk, Paul Thomas

Foulk, Paul Thomas is an individual health care provider with primary practice located at 155 N 3Rd St , Conneaut Lake PA 16316. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Foulk, Paul Thomas can be contacted via phone (814) 382-5100.

Contact Information

Primary practice address
155 N 3Rd St Conneaut Lake PA 16316
Phone: (814) 382-5100
Fax: (814) 382-5100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS027873L Pennsylvania

Profile Details

NPI number 1275516619
LBN Legal business name Foulk, Paul Thomas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 17 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 1275516619 NPPES
Pennsylvania MEDICAID 0012612260001
Pennsylvania Other 66691
Pennsylvania Other 10298

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