Samuel E Schrack, D.O., P.C.

LBN: Samuel E Schrack, D.O., P.C.
Samuel E Schrack, D.O., P.C. is an health care organization with primary practice located at 520 W 4Th St Suite 1A, Williamsport PA 17701-6038. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Samuel E Schrack, D.O., P.C. can be contacted via phone (570) 327-9110, or through Miller, Lisa R via phone (570) 327-9110.

Contact Information

Primary practice address
520 W 4Th St Suite 1A Williamsport PA 17701-6038
Phone: (570) 327-9110
Fax: (570) 327-1181
Website:
Map and Directions
Authorized official contact:
Name: Miller, Lisa R
Phone: (570) 327-9110

Health care specialties

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

Profile Details

NPI number 1174587570
LBN Legal business name Samuel E Schrack, D.O., P.C.
DBA Doing business as
Authorized official Miller, Lisa R
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 24th, 2009 - about 15 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 1174587570 NPPES
Pennsylvania MEDICAID 0019492200004

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