Modelewski, Paul

Modelewski, Paul is an individual health care provider with primary practice located at 1995 Technology Pkwy , Mechanicsburg PA 17050-8522. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Modelewski, Paul can be contacted via phone (717) 231-8772.

Contact Information

Primary practice address
1995 Technology Pkwy Mechanicsburg PA 17050-8522
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS018492 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS018492 Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X OS018492 Pennsylvania

Profile Details

NPI number 1033556881
LBN Legal business name Modelewski, Paul
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2013
Last updated Feb 2nd, 2021 - about 3 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 1033556881 NPPES
Pennsylvania MEDICAID 103438507

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