Sweet, Constance M

Sweet, Constance M is an individual health care provider with primary practice located at 1425 Golden Mile Road , Towanda PA 18848. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Sweet, Constance M can be contacted via phone (570) 265-9158.

Contact Information

Primary practice address
1425 Golden Mile Road Towanda PA 18848
Fax: (570) 265-1687
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD061835L Pennsylvania
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD061835L Pennsylvania

Profile Details

NPI number 1134103666
LBN Legal business name Sweet, Constance M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Nov 6th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134103666 NPPES
Pennsylvania MEDICAID 0016604090005

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