Desimone, Jeffrey F
Desimone, Jeffrey F is an sole proprietor health care provider with primary practice located at 2 E Maitland Ln , New Castle PA 16105-1248. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Desimone, Jeffrey F can be contacted via phone (724) 658-4700.Contact Information
Primary practice address
2 E Maitland Ln
New Castle PA 16105-1248
Phone: (724) 658-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001767 | Pennsylvania |
Profile Details
| NPI number | 1982600243 |
|---|---|
| LBN Legal business name | Desimone, Jeffrey F |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Aug 24th, 2012 - about 14 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 | 1982600243 | NPPES |
| Pennsylvania | Other | 410006252 | MEDICARE RR |
| Pennsylvania | MEDICAID | 0014582400002 | MEDICARE RR |
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