Scrobola, Charles Joseph
Scrobola, Charles Joseph is an sole proprietor health care provider with primary practice located at 75 South Wyoming Avenue Suite 2 , Edwardsville PA 18704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Scrobola, Charles Joseph can be contacted via phone (570) 824-2800.Contact Information
Primary practice address
75 South Wyoming Avenue Suite 2
Edwardsville PA 18704
Phone: (570) 824-2800
Fax: (570) 718-1481
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD-040056-L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD040056L | Pennsylvania |
Profile Details
| NPI number | 1144321639 |
|---|---|
| LBN Legal business name | Scrobola, Charles Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Dec 20th, 2011 - about 14 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 | 1144321639 | NPPES |
| Pennsylvania | MEDICAID | 001230177 |
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