| Chimahosky Internal Medicine Pc | |
|
1720 W Market St Pottsville PA 17901-2141 | |
| (570) 622-1910 | |
| (570) 622-5030 |
| Full Name | Chimahosky Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1720 W Market St, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Jeffrey Chimahosky (OWNER) |
| Authorized Official Contact | 5706221910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chimahosky Internal Medicine Pc 1720 W Market St Pottsville PA 17901-2141 Ph: (570) 622-1910 | Chimahosky Internal Medicine Pc 1720 W Market St Pottsville PA 17901-2141 Ph: (570) 622-1910 |
| NPI Number | 1326365800 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Medicare PECOS PAC ID | 4587796347 |
|---|---|
| Medicare Enrollment ID | O20100715000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326365800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Chimahosky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891723953 PECOS PAC ID: 9638174063 Enrollment ID: I20060919000096 |
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