Haytmanek, Craig T
Haytmanek, Craig T is an sole proprietor health care provider with primary practice located at 735 Delaware Ave , Fountain Hill PA 18015-1171. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Haytmanek, Craig T can be contacted via phone (610) 419-4494.Contact Information
Primary practice address
735 Delaware Ave
Fountain Hill PA 18015-1171
Phone: (610) 419-4494
Fax: (610) 419-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD020500E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | MD020500E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD020500E | Pennsylvania |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD020500E | Pennsylvania |
Profile Details
| NPI number | 1053358887 |
|---|---|
| LBN Legal business name | Haytmanek, Craig T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Apr 24th, 2024 - about 2 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 | 1053358887 | NPPES |
| Pennsylvania | MEDICAID | 0006092320001 |
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