Matejicka, Colleen
Matejicka, Colleen is an individual health care provider with primary practice located at 2108 Harrisburg Pike Suite 200, Lancaster PA 17601-2644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Matejicka, Colleen can be contacted via phone (717) 299-1301.Contact Information
Primary practice address
2108 Harrisburg Pike Suite 200
Lancaster PA 17601-2644
Phone: (717) 299-1301
Fax: (717) 299-2214
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | OS009984L | Pennsylvania |
Profile Details
NPI number | 1790768828 |
---|---|
LBN Legal business name | Matejicka, Colleen |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2005 |
Last updated | Aug 21st, 2007 - about 18 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 | 1790768828 | NPPES |
Pennsylvania | MEDICAID | 0018997900001 | |
Pennsylvania | Other | 1062166 | |
Pennsylvania | Other | 1527199 | |
Pennsylvania | Other | 7990688 | |
Pennsylvania | Other | H62859 | |
Pennsylvania | Other | 1390245 | |
Pennsylvania | Other | 50000922 |
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