Halcovage, John Samuel

Halcovage, John Samuel is an individual health care provider with primary practice located at 1700 South Lincoln Avenue , Lebanon PA 17042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Halcovage, John Samuel can be contacted via phone (717) 272-6621.

Contact Information

Primary practice address
1700 South Lincoln Avenue Lebanon PA 17042
Fax: (717) 228-6045
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS-008090-L Pennsylvania

Profile Details

NPI number 1174582266
LBN Legal business name Halcovage, John Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jan 3rd, 2024 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174582266 NPPES
Pennsylvania MEDICAID 01529584

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