Mayberry, Joseph J
Mayberry, Joseph J is an sole proprietor health care provider with primary practice located at 105 Huntingwood Dr , Lancaster PA 17602-1390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Mayberry, Joseph J can be contacted via phone (717) 464-4099.Contact Information
Primary practice address
105 Huntingwood Dr
Lancaster PA 17602-1390
Phone: (717) 464-4099
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS003136L | Pennsylvania |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | OS003136L | Pennsylvania |
Profile Details
NPI number | 1194798421 |
---|---|
LBN Legal business name | Mayberry, Joseph J |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 8th, 2006 |
Last updated | Dec 26th, 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 | 1194798421 | NPPES |
Pennsylvania | MEDICAID | 000683795 0010 |
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