Trevouledes, Peter B
Trevouledes, Peter B is an sole proprietor health care provider with primary practice located at 10 Shady Ln Ste 202 , Muncy PA 17756-8807. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Trevouledes, Peter B can be contacted via phone (570) 546-3633.Contact Information
Primary practice address
10 Shady Ln Ste 202
Muncy PA 17756-8807
Phone: (570) 546-3633
Fax: (570) 546-3663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD061452L | Pennsylvania |
Profile Details
| NPI number | 1972538767 |
|---|---|
| LBN Legal business name | Trevouledes, Peter B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Mar 10th, 2022 - about 3 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 | 1972538767 | NPPES |
| Pennsylvania | MEDICAID | 0016319440003 |
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