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
Phone: (717) 272-6621
Fax: (717) 228-6045
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174582266 | NPPES |
| Pennsylvania | MEDICAID | 01529584 |
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