Kenneth R Durrwachter Md Pc
LBN: Kenneth R Durrwachter Md Pc
Kenneth R Durrwachter Md Pc is an health care organization with primary practice located at 1705 Warren Ave Suite 208, Williamsport PA 17701-2647. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Kenneth R Durrwachter Md Pc can be contacted via phone (570) 601-6230, or through Durrwachter, Kenneth R via phone (570) 601-6230.
Contact Information
Primary practice address
1705 Warren Ave Suite 208
Williamsport PA 17701-2647
Phone: (570) 601-6230
Fax: (570) 601-6232
Website:
Authorized official contact:
Name: Durrwachter, Kenneth R Doctor of Medicine (MD)
Phone: (570) 601-6230
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD045039L | Pennsylvania |
Profile Details
NPI number | 1275586281 |
---|---|
LBN Legal business name | Kenneth R Durrwachter Md Pc |
DBA Doing business as | |
Authorized official | Durrwachter, Kenneth R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 19th, 2006 |
Last updated | Jan 13th, 2010 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1275586281 | NPPES |
Pennsylvania | MEDICAID | 1016212250001 | |
Pennsylvania | Other | C253 | |
Pennsylvania | Other | 1849658 | |
Pennsylvania | Other | 222566 |
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