Pirog, Joan O'Donnell

Pirog, Joan O'Donnell is an individual health care provider with primary practice located at 420 S 5Th Ave , West Reading PA 19611-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Pirog, Joan O'Donnell can be contacted via phone (484) 628-4075.

Contact Information

Primary practice address
420 S 5Th Ave West Reading PA 19611-2143
Phone: (484) 628-4075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X VP002205G Pennsylvania

Profile Details

NPI number 1871583542
LBN Legal business name Pirog, Joan O'Donnell
Credentials LNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Sep 13th, 2019 - about 5 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 1871583542 NPPES
Pennsylvania MEDICAID 102626600

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