St. Luke'S Physician Group, Inc

LBN: St. Luke'S Physician Group, Inc
St. Luke'S Physician Group, Inc is an health care organization with primary practice located at 4051 Freemansburg Ave , Easton PA 18045-5596. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. St. Luke'S Physician Group, Inc can be contacted via phone (484) 503-7474, or through Evans, Dean W via phone (484) 503-7474.

Contact Information

Primary practice address
4051 Freemansburg Ave Easton PA 18045-5596
Fax: (833) 203-6416
Website:
Authorized official contact:
Name: Evans, Dean W

Health care specialties

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

Profile Details

NPI number 1043695752
LBN Legal business name St. Luke'S Physician Group, Inc
DBA Doing business as
Authorized official Evans, Dean W
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2015
Last updated Jan 24th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043695752 NPPES
Pennsylvania MEDICAID 1007307530360

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