Waggenspack, Gerard Alan
Waggenspack, Gerard Alan is an individual health care provider with primary practice located at 1001 S George St , York PA 17403-3676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Waggenspack, Gerard Alan can be contacted via phone (717) 851-4624.Contact Information
Primary practice address
1001 S George St
York PA 17403-3676
Phone: (717) 851-4624
Fax: (717) 851-3431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD043215E | Pennsylvania |
Profile Details
| NPI number | 1336135243 |
|---|---|
| LBN Legal business name | Waggenspack, Gerard Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | May 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336135243 | NPPES |
| Pennsylvania | MEDICAID | 001153372 |
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