Prudencio, Maria Estela O
Prudencio, Maria Estela O is an sole proprietor health care provider with primary practice located at 503 N 21St St , Camp Hill PA 17011-2204. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Prudencio, Maria Estela O can be contacted via phone (717) 763-2205.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X | MD035793E | Pennsylvania |
Profile Details
| NPI number | 1245457654 |
|---|---|
| LBN Legal business name | Prudencio, Maria Estela O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1245457654 | NPPES |
| Pennsylvania | MEDICAID | 1682792 |
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