Kaville, Robert W
Kaville, Robert W is an sole proprietor health care provider with primary practice located at 101 Berry Hill Rd , Roaring Brook Twp PA 18444-7611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kaville, Robert W can be contacted via phone (570) 348-2280.Contact Information
Primary practice address
101 Berry Hill Rd
Roaring Brook Twp PA 18444-7611
Phone: (570) 348-2280
Fax: (570) 348-0647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD037576E | Pennsylvania |
Profile Details
| NPI number | 1770542789 |
|---|---|
| LBN Legal business name | Kaville, Robert W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | May 18th, 2020 - about 6 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 | 1770542789 | NPPES |
| Pennsylvania | MEDICAID | 1128600 |
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