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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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