Labosh, Timothy J

Labosh, Timothy J is an individual health care provider with primary practice located at 5665 Main St , East Petersburg PA 17520-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Labosh, Timothy J can be contacted via phone (717) 569-7011.

Contact Information

Primary practice address
5665 Main St East Petersburg PA 17520-1513
Phone: (717) 569-7011
Fax: (717) 569-8694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD042074E Pennsylvania

Profile Details

NPI number 1629064530
LBN Legal business name Labosh, Timothy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Nov 16th, 2009 - about 16 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 1629064530 NPPES
Pennsylvania Other 40026 S1QC GEISINGER HEALTH PLAN
Pennsylvania Other 604065 GEISINGER HEALTH PLAN
Pennsylvania MEDICAID 0015297170003 GEISINGER HEALTH PLAN
Pennsylvania Other 01957301 GEISINGER HEALTH PLAN
Pennsylvania Other 515152 GEISINGER HEALTH PLAN
Pennsylvania Other 5818042 GEISINGER HEALTH PLAN
Pennsylvania Other P002630 GEISINGER HEALTH PLAN
Pennsylvania Other E53671 GEISINGER HEALTH PLAN

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