Maccarthy, Justin Daniel

Maccarthy, Justin Daniel is an individual health care provider with primary practice located at 807 Turnpike Ave Suite 230, Clearfield PA 16830-1238. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Maccarthy, Justin Daniel can be contacted via phone (814) 768-2822.

Contact Information

Primary practice address
807 Turnpike Ave Suite 230 Clearfield PA 16830-1238
Fax: (814) 768-2821
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9400908 North Carolina
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD430012 Pennsylvania

Profile Details

NPI number 1881636256
LBN Legal business name Maccarthy, Justin Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 28th, 2014 - about 12 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 1881636256 NPPES
Pennsylvania Other 001888778 HIGHMARK PIN
Pennsylvania MEDICAID 1017462840001 HIGHMARK PIN

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