Small, Judith Ann

Small, Judith Ann is an individual health care provider with primary practice located at 490 E North Ave Suite 107, Pittsburgh PA 15212-4740. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Small, Judith Ann can be contacted via phone (412) 359-3376.

Contact Information

Primary practice address
490 E North Ave Suite 107 Pittsburgh PA 15212-4740
Phone: (412) 359-3376
Fax: (412) 359-5094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD026669E Pennsylvania

Profile Details

NPI number 1760484679
LBN Legal business name Small, Judith Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 20th, 2015 - about 10 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 1760484679 NPPES
Pennsylvania MEDICAID 0008612600006
Pennsylvania MEDICAID 3810010222

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