Farley, Traci Louise
Farley, Traci Louise is an individual health care provider with primary practice located at 1 Hospital Dr , Lewisburg PA 17837-9314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Farley, Traci Louise can be contacted via phone (570) 522-4110.Contact Information
Primary practice address
1 Hospital Dr
Lewisburg PA 17837-9314
Phone: (570) 522-4110
Fax: (570) 768-3911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD425385 | Pennsylvania |
Profile Details
| NPI number | 1376564013 |
|---|---|
| LBN Legal business name | Farley, Traci Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | May 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376564013 | NPPES |
| Pennsylvania | Other | 1671113 | BLUE SHIELD |
| Pennsylvania | Other | 321845 | BLUE SHIELD |
| Pennsylvania | Other | 50044509 | BLUE SHIELD |
| Pennsylvania | Other | P00190420 | BLUE SHIELD |
| Pennsylvania | MEDICAID | 1012034590001 | BLUE SHIELD |
| Pennsylvania | Other | 232809429 | BLUE SHIELD |
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