Pisano, Domenic
Pisano, Domenic is an individual health care provider with primary practice located at 196 W Sproul Rd Suite 106, Springfield PA 19064-2045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Pisano, Domenic can be contacted via phone (610) 543-4000.Contact Information
Primary practice address
196 W Sproul Rd Suite 106
Springfield PA 19064-2045
Phone: (610) 543-4000
Fax: (610) 543-4003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | OS002998L | Pennsylvania |
Profile Details
| NPI number | 1669446159 |
|---|---|
| LBN Legal business name | Pisano, Domenic |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Aug 15th, 2011 - about 15 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 | 1669446159 | NPPES |
| Pennsylvania | MEDICAID | 000751895 |
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