Donald J. Reese
Primary Podiatric Medicine
28 W Broad St
Nanticoke
, Pennsylvania 18634-2203
Donald J. Reese
Primary Podiatric Medicine
28 W Broad St
Nanticoke
, Pennsylvania 18634-2203
(570) 740-1386
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Donald J. Reese
- 28 W Broad St
- Nanticoke, PA
- Zip : 18634-2203
- Fax : (570) 740-1386
- Phone : (570) 735-1100
Second Address
- Donald J. Reese
- 28 W Broad St
- Nanticoke, PA
- Zip : 18634-2203
- Fax : (570) 740-1386
- Phone : (570) 735-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | SC-002772 L | PA |
National Provider Identifier
| NPI | 1497872816 |
|---|---|
| Provider Name | Donald J. Reese |
| First Address | Nanticoke, PA 18634-2203 |
| Second Address | Nanticoke, PA 18634-2203 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/03/2007 |
| Last Update Date | 24/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1213309 | (05) | PA |
| T28475 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.