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ST. LUKE'S PHYSICIAN GROUP INC NPI 1568889806


NPI Information

NPI: 1568889806
Provider Name: ST. LUKE'S PHYSICIAN GROUP, INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

CLIA Number: 39D2271997

Address:
3 PARKINSONS RD
EAST STROUDSBURG, PA
ZIP 18301
Phone: (272) 212-0553
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ST. LUKE'S PHYSICIAN GROUP, INC is a neurology psychiatry neurology in East Stroudsburg, 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 1568889806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3 PARKINSONS RD
EAST STROUDSBURG, PA
ZIP 18301-087
Phone: (272) 212-0553
Fax: (866) 230-6668

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 39D2271997 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 1/17/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & 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: 5/5/2024

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