Ravetz, Pamela
Ravetz, Pamela is an individual health care provider with primary practice located at 1350 Broadcasting Rd Suite 201, Wyomissing PA 19610-3229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ravetz, Pamela can be contacted via phone (611) 685-9600.Contact Information
Primary practice address
1350 Broadcasting Rd Suite 201
Wyomissing PA 19610-3229
Phone: (611) 685-9600
Fax: (610) 685-6700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD069650L | Pennsylvania |
Profile Details
| NPI number | 1376524520 |
|---|---|
| LBN Legal business name | Ravetz, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Nov 4th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376524520 | NPPES |
| Pennsylvania | MEDICAID | 001801614 |
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