Hausner, Tina L

Hausner, Tina L is an individual health care provider with primary practice located at 105 4Th St , East Berlin PA 17316-9638. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Hausner, Tina L can be contacted via phone (717) 259-6440.

Contact Information

Primary practice address
105 4Th St East Berlin PA 17316-9638
Phone: (717) 259-6440
Fax: (717) 259-6644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP042033L Pennsylvania

Profile Details

NPI number 1780678656
LBN Legal business name Hausner, Tina L
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1780678656 NPPES
Pennsylvania MEDICAID 0158127

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