Prendergast, John M

Prendergast, John M is an individual health care provider with primary practice located at 1350 Locust St Ste G102 Building C, Pittsburgh PA 15219-4738. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Other Service Providers / Specialist. Other Service Providers / Specialist is his primary health care specialty. Prendergast, John M can be contacted via phone (412) 232-8494.

Contact Information

Primary practice address
1350 Locust St Ste G102 Building C Pittsburgh PA 15219-4738
Phone: (412) 232-8494
Fax: (412) 232-8727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD038722E Pennsylvania
Other Service Providers / Specialist 174400000X MD038722E Pennsylvania
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1437119757
LBN Legal business name Prendergast, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Sep 13th, 2011 - about 14 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 1437119757 NPPES
Pennsylvania MEDICAID 001099400

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