Damaske, Paul Richard
Damaske, Paul Richard is an individual health care provider with primary practice located at 132 Abigail Ln , Port Matilda PA 16870-7153. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Damaske, Paul Richard can be contacted via phone (814) 272-7200.Contact Information
Primary practice address
132 Abigail Ln
Port Matilda PA 16870-7153
Phone: (814) 272-7200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 243215 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD442118 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | N2999 | Texas |
Profile Details
| NPI number | 1780708248 |
|---|---|
| LBN Legal business name | Damaske, Paul Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Aug 10th, 2020 - about 6 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 | 1780708248 | NPPES |
| Texas | Other | 205108802 | CSHCN |
| Texas | Other | MD442118 | CSHCN |
| Texas | Other | N2999 | CSHCN |
| Texas | Other | 8CD496 | CSHCN |
| Texas | MEDICAID | 205108801 | CSHCN |
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