Gaydos, Edward J
Gaydos, Edward J is an sole proprietor health care provider with primary practice located at 111 Lilly St , Schuylkill Haven PA 17972-1154. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Gaydos, Edward J can be contacted via phone (570) 385-1190.Contact Information
Primary practice address
111 Lilly St
Schuylkill Haven PA 17972-1154
Phone: (570) 385-1190
Fax: (570) 385-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC003058L | Pennsylvania |
Profile Details
| NPI number | 1306876453 |
|---|---|
| LBN Legal business name | Gaydos, Edward J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Feb 28th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306876453 | NPPES |
| Pennsylvania | Other | 1119540001 | DMERC |
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