Dzielak, Edward

Dzielak, Edward is an individual health care provider with primary practice located at 5 S Washington Ave , Jermyn PA 18433-1121. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Dzielak, Edward can be contacted via phone (570) 230-0019.

Contact Information

Primary practice address
5 S Washington Ave Jermyn PA 18433-1121
Phone: (570) 230-0019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS004141L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X OS004141L Pennsylvania

Profile Details

NPI number 1386611440
LBN Legal business name Dzielak, Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Mar 10th, 2022 - about 4 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 1386611440 NPPES
Pennsylvania MEDICAID 000834808

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