Mayberry, Joseph J

Mayberry, Joseph J is an sole proprietor health care provider with primary practice located at 105 Huntingwood Dr , Lancaster PA 17602-1390. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Mayberry, Joseph J can be contacted via phone (717) 464-4099.

Contact Information

Primary practice address
105 Huntingwood Dr Lancaster PA 17602-1390
Phone: (717) 464-4099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS003136L Pennsylvania
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X OS003136L Pennsylvania

Profile Details

NPI number 1194798421
LBN Legal business name Mayberry, Joseph J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Dec 26th, 2019 - about 7 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 1194798421 NPPES
Pennsylvania MEDICAID 000683795 0010

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