Lycoming Physical Medicine Pc
LBN: Lycoming Physical Medicine Pc
Lycoming Physical Medicine Pc is an health care organization with primary practice located at 1111 E 3Rd St , Williamsport PA 17701-5411. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Internal Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Chiropractic Providers / Chiropractor is the primary health care specialty.
Lycoming Physical Medicine Pc can be contacted via phone (570) 916-4897, or through Hampton, Mark Allen via phone (570) 916-4897.
Contact Information
Primary practice address
1111 E 3Rd St
Williamsport PA 17701-5411
Phone: (570) 916-4897
Fax: (570) 322-8100
Website:
Authorized official contact:
Name: Hampton, Mark Allen Doctor of Chiropractic (DC)
Phone: (570) 916-4897
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC004453L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD045007L | Pennsylvania |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | MD070043L | Pennsylvania |
Profile Details
| NPI number | 1891118667 |
|---|---|
| LBN Legal business name | Lycoming Physical Medicine Pc |
| DBA Doing business as | |
| Authorized official | Hampton, Mark Allen Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 29th, 2014 |
| Last updated | Jun 12th, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891118667 | NPPES |
| Pennsylvania | Other | DC004453L | LICENSE |
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