Mariscotti, Carla K
Mariscotti, Carla K is an individual health care provider with primary practice located at 2 Briarcrest Sq , Hershey PA 17033-2359. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mariscotti, Carla K can be contacted via phone (717) 533-2362.Contact Information
Primary practice address
2 Briarcrest Sq
Hershey PA 17033-2359
Phone: (717) 533-2362
Fax: (717) 534-2357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000191 | Pennsylvania |
Profile Details
| NPI number | 1902890155 |
|---|---|
| LBN Legal business name | Mariscotti, Carla K |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Nov 4th, 2022 - about 4 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 | 1902890155 | NPPES |
| Other | 01816701 | BLUE CROSS | |
| Other | 434111 | BLUE CROSS |
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