Pavelski, Michele Lynn

Pavelski, Michele Lynn is an individual health care provider with primary practice located at 182 Main St , New Milford PA 18834-2114. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Pavelski, Michele Lynn can be contacted via phone (570) 465-3444.

Contact Information

Primary practice address
182 Main St New Milford PA 18834-2114
Phone: (570) 465-3444
Fax: (570) 465-5400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC0078136 Pennsylvania

Profile Details

NPI number 1740278597
LBN Legal business name Pavelski, Michele Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 2007 - about 17 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 1740278597 NPPES
Pennsylvania Other 838244 BLUE SHIELD
Pennsylvania Other 2374009 BLUE SHIELD
Pennsylvania MEDICAID 0018053640001 BLUE SHIELD

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