Tagala, Praxidio H
Tagala, Praxidio H is an sole proprietor health care provider with primary practice located at 615 Thompson St , Clearfield PA 16830-1227. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tagala, Praxidio H can be contacted via phone (814) 765-4369.Contact Information
Primary practice address
615 Thompson St
Clearfield PA 16830-1227
Phone: (814) 765-4369
Fax: (814) 768-7890
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD038410-L | Pennsylvania |
Profile Details
| NPI number | 1386826519 |
|---|---|
| LBN Legal business name | Tagala, Praxidio H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2007 |
| Last updated | Nov 29th, 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 | 1386826519 | NPPES |
| Pennsylvania | MEDICAID | 0861458 |
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