Supple, Edward William

Supple, Edward William is an individual health care provider with primary practice located at 217 Harrisburg Ave The Heart Group, Ltd., Lancaster PA 17603-2964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Supple, Edward William can be contacted via phone (717) 397-5484.

Contact Information

Primary practice address
217 Harrisburg Ave The Heart Group, Ltd. Lancaster PA 17603-2964
Phone: (717) 397-5484
Fax: (717) 397-8407
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD038497E Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD038497E Pennsylvania

Profile Details

NPI number 1134196785
LBN Legal business name Supple, Edward William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Oct 2nd, 2008 - about 16 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 1134196785 NPPES
Pennsylvania MEDICAID 0010951250003

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