Serine, Enrico A
Serine, Enrico A is an individual health care provider with primary practice located at 1140 Quincy Ave , Dunmore PA 18510-1150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Serine, Enrico A can be contacted via phone (570) 983-0369.Contact Information
Primary practice address
1140 Quincy Ave
Dunmore PA 18510-1150
Phone: (570) 983-0369
Fax: (570) 983-0375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD025938E | Pennsylvania |
Profile Details
| NPI number | 1205815180 |
|---|---|
| LBN Legal business name | Serine, Enrico A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Mar 4th, 2013 - about 12 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 | 1205815180 | NPPES |
| Pennsylvania | MEDICAID | 00823724 |
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