Wascher, David Gordon
Wascher, David Gordon is an individual health care provider with primary practice located at 1905 Mill Ln , Williamsport PA 17701-1527. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wascher, David Gordon can be contacted via phone (570) 326-3393.Contact Information
Primary practice address
1905 Mill Ln
Williamsport PA 17701-1527
Phone: (570) 326-3393
Fax: (570) 326-3324
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC001320L | Pennsylvania |
Profile Details
| NPI number | 1457348419 |
|---|---|
| LBN Legal business name | Wascher, David Gordon |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| 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 | 1457348419 | NPPES |
| Pennsylvania | Other | 3509086182 | RR MEDICARE |
| Pennsylvania | Other | 115649 | RR MEDICARE |
| Pennsylvania | Other | 806777 | RR MEDICARE |
| Pennsylvania | MEDICAID | 0012948440001 | RR MEDICARE |
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