Chwiecko, Paul Jerome

Chwiecko, Paul Jerome is an individual health care provider with primary practice located at 950B N Wyomissing Blvd , Wyomissing PA 19610-1783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chwiecko, Paul Jerome can be contacted via phone (484) 628-2490.

Contact Information

Primary practice address
950B N Wyomissing Blvd Wyomissing PA 19610-1783
Phone: (484) 628-2490
Fax: (610) 288-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD065926L Pennsylvania

Profile Details

NPI number 1063431393
LBN Legal business name Chwiecko, Paul Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 17th, 2015 - about 11 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 1063431393 NPPES
Pennsylvania MEDICAID 001708594

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