Pernikoff, Barry J

Pernikoff, Barry J is an individual health care provider with primary practice located at 200 S River St , Plains PA 18705-1143. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Pernikoff, Barry J can be contacted via phone (570) 821-1100.

Contact Information

Primary practice address
200 S River St Plains PA 18705-1143
Fax: (570) 821-1108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD044775L Pennsylvania
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD044775L Pennsylvania

Profile Details

NPI number 1609844646
LBN Legal business name Pernikoff, Barry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Sep 17th, 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 1609844646 NPPES
Pennsylvania MEDICAID 1249713010

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