Pritchyk, Keith Michael

Pritchyk, Keith Michael is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Pritchyk, Keith Michael can be contacted via phone (570) 342-7864.

Contact Information

Primary practice address
300 Lackawanna Ave Ste 200 Scranton PA 18503-2001
Phone: (570) 342-7864
Fax: (570) 800-7515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD423407 Pennsylvania

Profile Details

NPI number 1063412583
LBN Legal business name Pritchyk, Keith Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Dec 30th, 2021 - about 5 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 1063412583 NPPES
Pennsylvania MEDICAID 1011302720001

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