Powell, Debra L

Powell, Debra L is an individual health care provider with primary practice located at 301 S 7Th Ave Suite 130, West Reading PA 19611-1410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Powell, Debra L can be contacted via phone (484) 628-4630.

Contact Information

Primary practice address
301 S 7Th Ave Suite 130 West Reading PA 19611-1410
Phone: (484) 628-4630
Fax: (610) 374-8324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD433966 Pennsylvania

Profile Details

NPI number 1649483272
LBN Legal business name Powell, Debra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 1st, 2013 - about 11 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 1649483272 NPPES
Pennsylvania Other 126412 MEDICARE ID
Pennsylvania MEDICAID 102165835 MEDICARE ID

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