Pickerill, Robert G

Pickerill, Robert G is an sole proprietor health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pickerill, Robert G can be contacted via phone (814) 242-0520.

Contact Information

Primary practice address
1086 Franklin St Johnstown PA 15905-4305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD019294E Pennsylvania

Profile Details

NPI number 1710971882
LBN Legal business name Pickerill, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2005
Last updated Mar 8th, 2016 - about 8 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 1710971882 NPPES
Pennsylvania Other P31109403853 ION HEALTH
Pennsylvania Other 87201 ION HEALTH
Pennsylvania Other 1025205 ION HEALTH
Pennsylvania MEDICAID 0009133850004 ION HEALTH
Pennsylvania Other 547286 ION HEALTH

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