Menichello, Gina

Menichello, Gina is an individual health care provider with primary practice located at 700 Horizon Dr Suite 103, Chalfont PA 18914-3967. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Menichello, Gina can be contacted via phone (215) 822-3130.

Contact Information

Primary practice address
700 Horizon Dr Suite 103 Chalfont PA 18914-3967
Fax: (215) 822-3134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS014574 Pennsylvania

Profile Details

NPI number 1407016736
LBN Legal business name Menichello, Gina
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Jan 21st, 2013 - about 12 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 1407016736 NPPES
Pennsylvania MEDICAID 102315469

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