Lupold, Georgetta D.

Lupold, Georgetta D. is an individual health care provider with primary practice located at 529 Terry Reiley Way , Pottsville PA 17901-1774. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lupold, Georgetta D. can be contacted via phone (570) 624-4444.

Contact Information

Primary practice address
529 Terry Reiley Way Pottsville PA 17901-1774
Phone: (570) 624-4444
Fax: (570) 624-4445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD016590E Pennsylvania

Profile Details

NPI number 1134180029
LBN Legal business name Lupold, Georgetta D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Nov 2nd, 2011 - about 14 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 1134180029 NPPES
Pennsylvania MEDICAID 000687355

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