Wirth, Carole Zajac
Wirth, Carole Zajac is an individual health care provider with primary practice located at 169 Martin Ave , Ephrata PA 17522-1724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Wirth, Carole Zajac can be contacted via phone (717) 738-6414.Contact Information
Primary practice address
169 Martin Ave
Ephrata PA 17522-1724
Phone: (717) 738-6414
Fax: (717) 738-6690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD036972E | Pennsylvania |
Profile Details
| NPI number | 1902844640 |
|---|---|
| LBN Legal business name | Wirth, Carole Zajac |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Oct 20th, 2017 - about 7 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 | 1902844640 | NPPES |
| Pennsylvania | MEDICAID | 0012081670004 |
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