Licata, Paul

Licata, Paul is an individual health care provider with primary practice located at 629D Lowther Rd Suite 3950, Lewisberry PA 17339-9527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Licata, Paul can be contacted via phone (717) 932-5200.

Contact Information

Primary practice address
629D Lowther Rd Suite 3950 Lewisberry PA 17339-9527
Phone: (717) 932-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD073064L Pennsylvania

Profile Details

NPI number 1790772002
LBN Legal business name Licata, Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated May 24th, 2021 - about 3 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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