Sps-Allergy & Immunology
LBN: Susquehanna Physician Services
Sps-Allergy & Immunology is an health care organization with primary practice located at 1705 Warren Ave Suite 201, Williamsport PA 17701-2664. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 320-7645, or through Santangelo, Charles via phone (570) 321-3171.
Contact Information
Primary practice address
1705 Warren Ave Suite 201
Williamsport PA 17701-2664
Phone: (570) 320-7645
Fax: (570) 320-7646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | ||
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X |
Profile Details
| NPI number | 1013118389 |
|---|---|
| LBN Legal business name | Susquehanna Physician Services |
| DBA Doing business as | Sps-Allergy & Immunology |
| Authorized official | Santangelo, Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | May 20th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013118389 | NPPES |
| Pennsylvania | MEDICAID | 0017300760193 | |
| Pennsylvania | Other | 1966309 |
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