Individual
DR. DENNIS J SPLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
421 W CHEW ST, DEPARTMENT OF DIAGNOSTIC RADIOLOGY, ALLENTOWN, PA 18102-3406
(610) 776-4822
(610) 776-4671
Mailing address
421 W CHEW ST, ALLENTOWN, PA 18102-3406
(610) 663-3441
(610) 663-3170
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS003950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011749620001
—
PA
05
—
0011749620009
—
PA
01
—
0040612000
IBC
—
01
—
01566701
CBC CREST
—
01
—
01566702
CBC NIC
—
01
—
1090059
AMERIHEALTH MERCY CREST
—
01
—
109969
HIGHMARK BLUE SHIELD
—
01
—
125483
UNISON CREST
—
01
—
125484
UNISON NIC
—
01
—
20021129
AMERIHEALTH MERCY NIC
—
01
—
300034751
RR MEDICARE CREST
—
01
—
300121491
RR MEDICARE NIC
—
Enumeration date
09/27/2005
Last updated
08/17/2010
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