Vidal, Carlos J
Vidal, Carlos J is an individual health care provider with primary practice located at 147 Gettys St , Gettysburg PA 17325-2534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vidal, Carlos J can be contacted via phone (717) 339-2025.Contact Information
Primary practice address
147 Gettys St
Gettysburg PA 17325-2534
Phone: (717) 339-2025
Fax: (717) 339-2011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BV7875214 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | D81367 | Maryland |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD420108 | Pennsylvania |
Profile Details
| NPI number | 1225023765 |
|---|---|
| LBN Legal business name | Vidal, Carlos J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Mar 24th, 2022 - about 2 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 | 1225023765 | NPPES |
| Pennsylvania | MEDICAID | 001916078 |
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