Trachtenberg, William M

Trachtenberg, William M is an individual health care provider with primary practice located at 1739 W Fairmont St , Allentown PA 18104-3189. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Trachtenberg, William M can be contacted via phone (610) 437-4988.

Contact Information

Primary practice address
1739 W Fairmont St Allentown PA 18104-3189
Fax: (610) 437-4176
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD013493E Pennsylvania

Profile Details

NPI number 1992705396
LBN Legal business name Trachtenberg, William M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 4th, 2008 - about 18 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 1992705396 NPPES
Pennsylvania MEDICAID 0006264490001

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