Wyoming Valley Infectious Disease Assoc, Pc
LBN: Wyoming Valley Infectious Disease Assoc, Pc
Wyoming Valley Infectious Disease Assoc, Pc is an health care organization with primary practice located at 545 N River St Suite 205, Wilkes Barre PA 18702-2600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty.
Wyoming Valley Infectious Disease Assoc, Pc can be contacted via phone (570) 822-6036, or through Decker, Gary R via phone (570) 822-6036.
Contact Information
Primary practice address
545 N River St Suite 205
Wilkes Barre PA 18702-2600
Phone: (570) 822-6036
Fax: (570) 829-1520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X |
Profile Details
| NPI number | 1154372373 |
|---|---|
| LBN Legal business name | Wyoming Valley Infectious Disease Assoc, Pc |
| DBA Doing business as | |
| Authorized official | Decker, Gary R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Nov 19th, 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 | 1154372373 | NPPES |
| Pennsylvania | Other | 756235 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 809669 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 010284600 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 5507 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 0017767900002 | HIGHMARK BLUE SHIELD |
| Pennsylvania | Other | 756235 | HIGHMARK BLUE SHIELD |
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