Panik, Gary M
Panik, Gary M is an individual health care provider with primary practice located at 7096 Decatur St , New Tripoli PA 18066-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Panik, Gary M can be contacted via phone (610) 298-8521.Contact Information
Primary practice address
7096 Decatur St
New Tripoli PA 18066-3815
Phone: (610) 298-8521
Fax: (610) 298-3021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS006044E | Pennsylvania |
Profile Details
| NPI number | 1073509998 |
|---|---|
| LBN Legal business name | Panik, Gary M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Feb 10th, 2022 - about 3 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 | 1073509998 | NPPES |
| Pennsylvania | MEDICAID | 0010797850002 |
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