Dauchess, Vincent G
Dauchess, Vincent G is an sole proprietor health care provider with primary practice located at 401 W Market St , Pottsville PA 17901-2930. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Dauchess, Vincent G can be contacted via phone (570) 622-2036.Contact Information
Primary practice address
401 W Market St
Pottsville PA 17901-2930
Phone: (570) 622-2036
Fax: (570) 622-5242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | DS018834-L | Pennsylvania |
Profile Details
| NPI number | 1528030954 |
|---|---|
| LBN Legal business name | Dauchess, Vincent G |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1528030954 | NPPES |
| Pennsylvania | Other | 0160922 | KEYSTONE |
| Pennsylvania | MEDICAID | 0005170230001 | KEYSTONE |
| Pennsylvania | Other | 160922 | KEYSTONE |
| Pennsylvania | Other | 01176001 | KEYSTONE |
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