Michael E Fath, D.O., P.C

LBN: Michael E Fath, D.O., P.C
Michael E Fath, D.O., P.C is an health care organization with primary practice located at 575 Pierce St Ste 101 , Kingston PA 18704-5700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Michael E Fath, D.O., P.C can be contacted via phone (570) 718-8676, or through Fath, Michael E via phone (570) 718-8676.

Contact Information

Primary practice address
575 Pierce St Ste 101 Kingston PA 18704-5700
Phone: (570) 718-8676
Fax: (570) 338-2345
Website:
Map and Directions
Authorized official contact:
Name: Fath, Michael E Doctor of Osteopathy (DO)
Phone: (570) 718-8676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012073 Pennsylvania

Profile Details

NPI number 1801067145
LBN Legal business name Michael E Fath, D.O., P.C
DBA Doing business as
Authorized official Fath, Michael E Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2008
Last updated Jan 22nd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801067145 NPPES
Pennsylvania MEDICAID 1038359820001
Pennsylvania Other 4505879

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