Wahrenberger, Jack Todd

Wahrenberger, Jack Todd is an individual health care provider with primary practice located at 249 S 9Th St , Pittsburgh PA 15203-1265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wahrenberger, Jack Todd can be contacted via phone (412) 697-3260.

Contact Information

Primary practice address
249 S 9Th St Pittsburgh PA 15203-1265
Phone: (412) 697-3260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 050618 L Pennsylvania

Profile Details

NPI number 1396740767
LBN Legal business name Wahrenberger, Jack Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 3rd, 2013 - 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 1396740767 NPPES
Pennsylvania MEDICAID 0014788970006

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