O'Hara, Mary Beth Ann

O'Hara, Mary Beth Ann is an sole proprietor health care provider with primary practice located at 121 Jpm Rd , Lewisburg PA 17837-9313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. O'Hara, Mary Beth Ann can be contacted via phone (570) 551-0300.

Contact Information

Primary practice address
121 Jpm Rd Lewisburg PA 17837-9313
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS008495L Pennsylvania

Profile Details

NPI number 1790746576
LBN Legal business name O'Hara, Mary Beth Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Dec 23rd, 2016 - about 10 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 1790746576 NPPES
Pennsylvania Other 906438 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 001632816 0008 HIGHMARK BLUE SHIELD

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