Kordek, Michael E.

Kordek, Michael E. is an individual health care provider with primary practice located at 499 Wyoming Ave , Kingston PA 18704-3602. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kordek, Michael E. can be contacted via phone (570) 283-2161.

Contact Information

Primary practice address
499 Wyoming Ave Kingston PA 18704-3602
Phone: (570) 283-2161
Fax: (570) 714-0670
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD027149E Pennsylvania

Profile Details

NPI number 1114987484
LBN Legal business name Kordek, Michael E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jan 28th, 2014 - about 11 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 1114987484 NPPES
Pennsylvania MEDICAID 0010292730001

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