Lupold, Georgetta D.
Lupold, Georgetta D. is an individual health care provider with primary practice located at 529 Terry Reiley Way , Pottsville PA 17901-1774. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lupold, Georgetta D. can be contacted via phone (570) 624-4444.Contact Information
Primary practice address
529 Terry Reiley Way
Pottsville PA 17901-1774
Phone: (570) 624-4444
Fax: (570) 624-4445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD016590E | Pennsylvania |
Profile Details
| NPI number | 1134180029 |
|---|---|
| LBN Legal business name | Lupold, Georgetta D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Nov 2nd, 2011 - about 13 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 | 1134180029 | NPPES |
| Pennsylvania | MEDICAID | 000687355 |
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