Lundgren, Eric C

Lundgren, Eric C is an sole proprietor health care provider with primary practice located at 605 S Main St , Du Bois PA 15801-1479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lundgren, Eric C can be contacted via phone (814) 371-8569.

Contact Information

Primary practice address
605 S Main St Du Bois PA 15801-1479
Fax: (814) 371-8603
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD041884E Pennsylvania

Profile Details

NPI number 1992791206
LBN Legal business name Lundgren, Eric C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Dec 22nd, 2014 - about 11 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 1992791206 NPPES
Pennsylvania MEDICAID 0012492680003
Pennsylvania Other 020051707

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