Organization
EBENSBURG FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID F HOLSINGER MD (PRESIDENT/PHYSICIAN)
(814) 471-6595
Entity
Organization
Contact information
Practice address
236 JAMESWAY RD, EBENSBURG, PA 15931-4207
(814) 471-6595
Mailing address
236 JAMESWAY RD, EBENSBURG, PA 15931-4207
(814) 471-6595
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012105120004
—
PA
01
—
11064
GEISINGER
PA
01
—
1539685
GATEWAY
PA
01
—
157145
UNISON
PA
01
—
1640177
BCBS
PA
01
—
610852600
DEPT OF LABOR
PA
01
—
702426
UPMC
PA
01
—
DC0689
RRMC
PA
01
—
P00146078
RRMC
PA
Enumeration date
07/04/2006
Last updated
09/03/2010
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