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ST. LUKE'S PHYSICIAN GROUP INC. NPI 1588755425


NPI Information

NPI: 1588755425
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 39D1054446

Address:
1417 8TH AVE
BETHLEHEM, PA
ZIP 18018
Phone: (484) 526-5210
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ST. LUKE'S PHYSICIAN GROUP, INC. is a neurology psychiatry neurology in Bethlehem, PA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. ST. LUKE'S PHYSICIAN GROUP, INC. NPI is 1588755425. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1417 8TH AVE
BETHLEHEM, PA
ZIP 18018-256
Phone: (484) 526-5210
Fax: (484) 526-5237

The provider's authorized official is Dean W. Evans .
The authorized official title is President and has the following contact phone number (484) 526-4991.

The CLIA number assigned to this NPI record is 39D1054446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 1/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical NeuropsychologistNo
22084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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