Chs Professional Practice, P.C.
Internal Medicine in Hazleton, PA. Organization (NPI-2).
NPI number1821332008
StatusActive
Last updated in NPPESJan 23, 2020
Details
- NPI
- 1821332008
- Entity type
- Organization (NPI-2)
- Legal business name
- Chs Professional Practice, P.C.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2012
- Certification date
- Jan 23, 2020
- Last updated
- Jan 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | – | – |
Other names
- Coordinated Health Primary Care-Hazleton (Doing Business As)
Practice location
26 Station CirHazleton, PA 18202-9726
Phone 610-861-8080 · Fax 570-497-4046
Mailing address
2775 Schoenersville RdBethlehem, PA 18017-7307
Phone 610-861-8080 · Fax 610-861-0854
Authorized official
Amy Nyberg
President & Coo
6108618080
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