Kacsmar, Michael D.

Kacsmar, Michael D. is an individual health care provider with primary practice located at 529 Sunflower Dr , Du Bois PA 15801-2378. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kacsmar, Michael D. can be contacted via phone (814) 371-1510.

Contact Information

Primary practice address
529 Sunflower Dr Du Bois PA 15801-2378
Phone: (814) 371-1510
Fax: (814) 371-2922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010286 Pennsylvania

Profile Details

NPI number 1427282706
LBN Legal business name Kacsmar, Michael D.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2009
Last updated Jul 3rd, 2013 - about 13 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 1427282706 NPPES
Pennsylvania MEDICAID 1026380200001

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