Sarria, Ivan

Sarria, Ivan is an individual health care provider with primary practice located at 4203 Hospital Rd , Coal Township PA 17866-9668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Sarria, Ivan can be contacted via phone (570) 648-4010.

Contact Information

Primary practice address
4203 Hospital Rd Coal Township PA 17866-9668
Phone: (570) 648-4010
Fax: (570) 648-5706
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD434674 Pennsylvania

Profile Details

NPI number 1962650879
LBN Legal business name Sarria, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2008
Last updated Aug 24th, 2011 - about 13 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 1962650879 NPPES
Pennsylvania MEDICAID 1021977770001

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