Luning Prak, Eline T
Luning Prak, Eline T is an individual health care provider with primary practice located at 51 N 39Th St , Philadelphia PA 19104-2640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is her primary health care specialty. Luning Prak, Eline T can be contacted via phone (215) 662-8963.Contact Information
Primary practice address
51 N 39Th St
Philadelphia PA 19104-2640
Phone: (215) 662-8963
Fax: (215) 662-1694
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | MD066352L | Pennsylvania |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD066352L | Pennsylvania |
Profile Details
NPI number | 1669415907 |
---|---|
LBN Legal business name | Luning Prak, Eline T |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Oct 28th, 2019 - about 6 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 | 1669415907 | NPPES |
Pennsylvania | MEDICAID | 0018027000001 |
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