Fath, Michael E

Fath, Michael E is an individual health care provider with primary practice located at 575 Pierce St Ste 101 , Kingston PA 18704-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fath, Michael E can be contacted via phone (570) 718-8676.

Contact Information

Primary practice address
575 Pierce St Ste 101 Kingston PA 18704-5700
Phone: (570) 718-8676
Fax: (570) 338-2345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS012073 Pennsylvania

Profile Details

NPI number 1487631214
LBN Legal business name Fath, Michael E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 14th, 2021 - 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 1487631214 NPPES
Pennsylvania Other 001458607 BLUE CROSS BLUE SHIELD
Pennsylvania MEDICAID 001947548 BLUE CROSS BLUE SHIELD
Pennsylvania Other 002993 BLUE CROSS BLUE SHIELD

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