Bumeder, Keith

Bumeder, Keith is an individual health care provider with primary practice located at 207 W Fulton St , Ephrata PA 17522-1902. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bumeder, Keith can be contacted via phone (717) 721-8789.

Contact Information

Primary practice address
207 W Fulton St Ephrata PA 17522-1902
Phone: (717) 721-8789
Fax: (717) 715-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA054613 Pennsylvania

Profile Details

NPI number 1861700643
LBN Legal business name Bumeder, Keith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2010
Last updated Nov 4th, 2021 - about 5 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 1861700643 NPPES
Pennsylvania MEDICAID 1032012750001

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