Waskowicz, Bruce C

Waskowicz, Bruce C is an individual health care provider with primary practice located at 770 Broad Stret , East Earl PA 17519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waskowicz, Bruce C can be contacted via phone (717) 445-4576.

Contact Information

Primary practice address
770 Broad Stret East Earl PA 17519
Phone: (717) 445-4576
Fax: (717) 445-4483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD043260L Pennsylvania

Profile Details

NPI number 1558378760
LBN Legal business name Waskowicz, Bruce C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Mar 9th, 2012 - about 13 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 1558378760 NPPES
Pennsylvania Other 679064 BLUE SHIELD
Pennsylvania MEDICAID 0012519450003 BLUE SHIELD
Pennsylvania Other 50051166 BLUE SHIELD
Pennsylvania Other P002394 BLUE SHIELD
Pennsylvania Other P00259886 BLUE SHIELD
Pennsylvania Other 574317 BLUE SHIELD

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