Zickafoose, David E.
Zickafoose, David E. is an sole proprietor health care provider with primary practice located at 220 Potomac Ave , Hanover PA 17331-2260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Zickafoose, David E. can be contacted via phone (717) 632-5245.Contact Information
Primary practice address
220 Potomac Ave
Hanover PA 17331-2260
Phone: (717) 632-5245
Fax: (717) 632-9454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD010727E | Pennsylvania |
Profile Details
| NPI number | 1255339057 |
|---|---|
| LBN Legal business name | Zickafoose, David E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 17th, 2009 - about 15 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 | 1255339057 | NPPES |
| Pennsylvania | Other | 02323400 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 01131101 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | MEDICAID | 000593938 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 8121070 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 010768 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | 02323400 | KEYSTONE HEALTH PLAN CENT |
| Pennsylvania | Other | ZI18669 | KEYSTONE HEALTH PLAN CENT |
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