Segu, Subramanyam

Segu, Subramanyam is an sole proprietor health care provider with primary practice located at 2409 State St , Erie PA 16503-1856. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Segu, Subramanyam can be contacted via phone (814) 452-6320.

Contact Information

Primary practice address
2409 State St Erie PA 16503-1856
Fax: (814) 453-7966
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD036091L Pennsylvania

Profile Details

NPI number 1396796520
LBN Legal business name Segu, Subramanyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Dec 7th, 2007 - about 18 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 1396796520 NPPES
Pennsylvania Other 141377 INDIVIDUAL BLUE SHIELD#

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