Rettger, Linda D

Rettger, Linda D is an individual health care provider with primary practice located at 18 W Main St , Mt Jewett PA 16740-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rettger, Linda D can be contacted via phone (814) 778-2298.

Contact Information

Primary practice address
18 W Main St Mt Jewett PA 16740-0000
Fax: (814) 778-7344
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD020312E Pennsylvania

Profile Details

NPI number 1073505467
LBN Legal business name Rettger, Linda D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Oct 10th, 2012 - about 12 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 1073505467 NPPES
Pennsylvania Other 000044064 HIGHMARK BC/BS PROVIDER #
Pennsylvania Other 010047693 HIGHMARK BC/BS PROVIDER #
Pennsylvania MEDICAID 0006112770002 HIGHMARK BC/BS PROVIDER #
Pennsylvania Other 217622 HIGHMARK BC/BS PROVIDER #
Pennsylvania Other MD020312E HIGHMARK BC/BS PROVIDER #

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