Presque Isle Family Medicine

LBN: Presque Isle Family Medicine
Presque Isle Family Medicine is an health care organization with primary practice located at 2556 W 12Th St , Erie PA 16505-4508. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Presque Isle Family Medicine can be contacted via phone (814) 836-9209, or through Lesseski, David C via phone (814) 836-9209.

Contact Information

Primary practice address
2556 W 12Th St Erie PA 16505-4508
Phone: (814) 836-9209
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lesseski, David C Doctor of Medicine (MD)
Phone: (814) 836-9209

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS007417L Pennsylvania

Profile Details

NPI number 1679628408
LBN Legal business name Presque Isle Family Medicine
DBA Doing business as
Authorized official Lesseski, David C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679628408 NPPES
Pennsylvania Other 0800122783 PALMETTO GBA
Pennsylvania MEDICAID 0012476390006 PALMETTO GBA
Pennsylvania Other 645037 PALMETTO GBA

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