Pickerill, Robert G
Pickerill, Robert G is an sole proprietor health care provider with primary practice located at 1086 Franklin St , Johnstown PA 15905-4305. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pickerill, Robert G can be contacted via phone (814) 242-0520.Contact Information
Primary practice address
1086 Franklin St
Johnstown PA 15905-4305
Phone: (814) 242-0520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD019294E | Pennsylvania |
Profile Details
| NPI number | 1710971882 |
|---|---|
| LBN Legal business name | Pickerill, Robert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Mar 8th, 2016 - about 10 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 | 1710971882 | NPPES |
| Pennsylvania | Other | P31109403853 | ION HEALTH |
| Pennsylvania | Other | 87201 | ION HEALTH |
| Pennsylvania | Other | 1025205 | ION HEALTH |
| Pennsylvania | MEDICAID | 0009133850004 | ION HEALTH |
| Pennsylvania | Other | 547286 | ION HEALTH |
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