Panik, Gary M

Panik, Gary M is an individual health care provider with primary practice located at 7096 Decatur St , New Tripoli PA 18066-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panik, Gary M can be contacted via phone (610) 298-8521.

Contact Information

Primary practice address
7096 Decatur St New Tripoli PA 18066-3815
Fax: (610) 298-3021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS006044E Pennsylvania

Profile Details

NPI number 1073509998
LBN Legal business name Panik, Gary M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Feb 10th, 2022 - 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 1073509998 NPPES
Pennsylvania MEDICAID 0010797850002

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