Staub, Perpetua Ann
Staub, Perpetua Ann is an individual health care provider with primary practice located at 3130 Grandview Rd Building B, Suite 1, Hanover PA 17331-9134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Staub, Perpetua Ann can be contacted via phone (717) 316-6967.Contact Information
Primary practice address
3130 Grandview Rd Building B, Suite 1
Hanover PA 17331-9134
Phone: (717) 316-6967
Fax: (717) 316-6994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD425196 | Pennsylvania |
Profile Details
| NPI number | 1912907098 |
|---|---|
| LBN Legal business name | Staub, Perpetua Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | May 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912907098 | NPPES |
| Pennsylvania | MEDICAID | 101168823 |
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