Maroon, Michele S

Maroon, Michele S is an individual health care provider with primary practice located at 16 Woodbine Lane , Danville PA 17822-5206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Maroon, Michele S can be contacted via phone (570) 271-8050.

Contact Information

Primary practice address
16 Woodbine Lane Danville PA 17822-5206
Fax: (570) 271-5940
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD039122E Pennsylvania

Profile Details

NPI number 1255393641
LBN Legal business name Maroon, Michele S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 5th, 2020 - about 4 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 1255393641 NPPES
Pennsylvania MEDICAID 001207437

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