institution
Sole Proprietor
Primary Care Clinic/Center in Washington, Pennsylvania
NPI 1568845832

Sole Proprietor is a Primary Care Clinic/Center based in Washington, PA and is specialized in Primary Care. Sole Proprietor practices in Washington, PA. The NPI Number for Sole Proprietor is 1568845832 and holds a License No. SP015047 (Pennsylvania).

The current practice location address for Sole Proprietor is 510 Locust Ave, Washington, PA and can be reached out via phone at 724-222-2289.

Location: 510 Locust Ave, Washington, PA, 15301-3331
institution
Provider Profile Details
NPI Number
1568845832
Provider Name
Sole Proprietor
Credential
Provider Entity Type
Organization
Address
510 Locust Ave, Washington, PA, 15301-3331
Phone Number
724-222-2289
Fax Number
Provider Enumeration Date
07/06/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
510 Locust Ave
City
State
Zip
15301-3331
Phone Number
724-222-2289
Fax Number
person
Provider Business Mailing Address Details
Address
510 Locust Ave
City
State
Zip
15301-3331
Phone Number
724-222-2289
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
SP015047 (Pennsylvania)
Definition
Definition to come...
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