Dave, Deepak

Dave, Deepak is an sole proprietor health care provider with primary practice located at 78 North Church Street , Hazleton PA 18201-5802. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dave, Deepak can be contacted via phone (570) 459-6666.

Contact Information

Primary practice address
78 North Church Street Hazleton PA 18201-5802
Phone: (570) 459-6666
Fax: (570) 459-5386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD040293L Pennsylvania

Profile Details

NPI number 1245231620
LBN Legal business name Dave, Deepak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Nov 22nd, 2011 - about 15 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 1245231620 NPPES
Other 180039776 RAILROAD MEDICARE
Other 202616 RAILROAD MEDICARE
Other 34225 RAILROAD MEDICARE
Other 073625 RAILROAD MEDICARE
Other 111134 RAILROAD MEDICARE
Other 510552 RAILROAD MEDICARE
MEDICAID 0011614630003 RAILROAD MEDICARE

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