Medina, James L

Medina, James L is an individual health care provider with primary practice located at 555 North Duke St , Lancaster PA 17604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Medina, James L can be contacted via phone (717) 544-4978.

Contact Information

Primary practice address
555 North Duke St Lancaster PA 17604
Phone: (717) 544-4978
Fax: (717) 544-7043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD418279 Pennsylvania

Profile Details

NPI number 1811974108
LBN Legal business name Medina, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811974108 NPPES
Pennsylvania MEDICAID 0019652410001

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