Frattali, Mary Jennifer

Frattali, Mary Jennifer is an individual health care provider with primary practice located at 503 S State St , Clarks Summit PA 18411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Frattali, Mary Jennifer can be contacted via phone (570) 587-5186.

Contact Information

Primary practice address
503 S State St Clarks Summit PA 18411
Phone: (570) 587-5186
Fax: (570) 586-7973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD047963L Pennsylvania

Profile Details

NPI number 1447362272
LBN Legal business name Frattali, Mary Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 1st, 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 1447362272 NPPES
Other FR427966 HIGH MARK BLUE SHIELD
MEDICAID 001393010 HIGH MARK BLUE SHIELD
Other 13683 HIGH MARK BLUE SHIELD
Other 078837 HIGH MARK BLUE SHIELD
Other 506554 HIGH MARK BLUE SHIELD
Other 180018745 HIGH MARK BLUE SHIELD

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