Scanlon, Thomas D

Scanlon, Thomas D is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Scanlon, Thomas D can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax: (717) 531-4077
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP015238 Pennsylvania

Profile Details

NPI number 1285000109
LBN Legal business name Scanlon, Thomas D
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2015
Last updated May 17th, 2019 - about 7 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 1285000109 NPPES
Pennsylvania MEDICAID 103037867

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