Laychock, Anna M.
Laychock, Anna M. is an individual health care provider with primary practice located at 420 South Jackson Street , Pottsville PA 17901-3625. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Laychock, Anna M. can be contacted via phone (570) 621-5325.Contact Information
Primary practice address
420 South Jackson Street
Pottsville PA 17901-3625
Phone: (570) 621-5325
Fax: (570) 621-5806
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD035031E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD035031E | Pennsylvania |
Profile Details
| NPI number | 1952396533 |
|---|---|
| LBN Legal business name | Laychock, Anna M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Nov 6th, 2018 - about 8 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 | 1952396533 | NPPES |
| Pennsylvania | MEDICAID | 0011299760005 | |
| Pennsylvania | MEDICAID | 001129976 |
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