Abraham, Mini George
Abraham, Mini George is an sole proprietor health care provider with primary practice located at 794 Roble Rd , Allentown PA 18109-9110. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Abraham, Mini George can be contacted via phone (877) 402-4221.Contact Information
Primary practice address
794 Roble Rd
Allentown PA 18109-9110
Phone: (877) 402-4221
Fax: (484) 425-8159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD420895 | Pennsylvania |
Profile Details
| NPI number | 1295726313 |
|---|---|
| LBN Legal business name | Abraham, Mini George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Oct 11th, 2016 - about 10 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 | 1295726313 | NPPES |
| Pennsylvania | Other | 30021250 | KMHP |
| Pennsylvania | Other | 1641370 | KMHP |
| Pennsylvania | Other | 2315870000 | KMHP |
| Pennsylvania | MEDICAID | 1011606100001 | KMHP |
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