Go, Alfonzo H
Go, Alfonzo H is an individual health care provider with primary practice located at 400 Highland Ave , Lewistown PA 17044-1167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Go, Alfonzo H can be contacted via phone (717) 242-7473.Contact Information
Primary practice address
400 Highland Ave
Lewistown PA 17044-1167
Phone: (717) 242-7473
Fax: (717) 242-7478
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD024982E | Pennsylvania |
Profile Details
| NPI number | 1205804564 |
|---|---|
| LBN Legal business name | Go, Alfonzo H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Nov 19th, 2020 - about 4 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 | 1205804564 | NPPES |
| Pennsylvania | MEDICAID | 0010564770007 |
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