Szydlowski, Thaddeus Raymond
Szydlowski, Thaddeus Raymond is an individual health care provider with primary practice located at 761 Norman Dr , Lebanon PA 17042-7497. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Szydlowski, Thaddeus Raymond can be contacted via phone (717) 376-1180.Contact Information
Primary practice address
761 Norman Dr
Lebanon PA 17042-7497
Phone: (717) 376-1180
Fax: (717) 273-6937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD014356E | Pennsylvania |
Profile Details
| NPI number | 1053304352 |
|---|---|
| LBN Legal business name | Szydlowski, Thaddeus Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Nov 21st, 2014 - 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 | 1053304352 | NPPES |
| Other | 91402 | HIGHMARK BLUE SHIELD | |
| Other | 50046058 | HIGHMARK BLUE SHIELD | |
| Other | 151298 | HIGHMARK BLUE SHIELD | |
| MEDICAID | 0006698670002 | HIGHMARK BLUE SHIELD |
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