Salisu, Mariam Bukky

Salisu, Mariam Bukky is an sole proprietor health care provider with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as her primary health care specialty. Salisu, Mariam Bukky can be contacted via phone (570) 326-8457.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1900
Fax: (570) 326-7989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD471881 Pennsylvania

Profile Details

NPI number 1821484213
LBN Legal business name Salisu, Mariam Bukky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2015
Last updated Oct 19th, 2020 - about 5 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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