Prebola, William R.

Prebola, William R. is an individual health care provider with primary practice located at 150 Mundy St , Wilkes Barre PA 18702-6830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Prebola, William R. can be contacted via phone (570) 824-0930.

Contact Information

Primary practice address
150 Mundy St Wilkes Barre PA 18702-6830
Phone: (570) 824-0930
Fax: (570) 824-7755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD042746L Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD042746L Pennsylvania

Profile Details

NPI number 1447243902
LBN Legal business name Prebola, William R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 20th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447243902 NPPES
Pennsylvania Other 534521 AETNA
Pennsylvania Other 635251 AETNA
Pennsylvania Other 25-1645055 AETNA
Pennsylvania Other 50075038 AETNA
Pennsylvania MEDICAID 001223987-0003 AETNA
Pennsylvania Other 20007268 AETNA
Pennsylvania Other 800082 AETNA
Pennsylvania Other 14674-1067 AETNA
Pennsylvania Other P00120684 AETNA

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