Provider Demographics
NPI:1447263462
Name:LIN-GUELIG, DARIA HELENA (PA-C)
Entity type:Individual
Prefix:
First Name:DARIA
Middle Name:HELENA
Last Name:LIN-GUELIG
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:22 WALNUT ST
Mailing Address - Street 2:LAUREL HEALTH CENTER ADMINISTRATION ATTN:MARIA SMITH
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901-1526
Mailing Address - Country:US
Mailing Address - Phone:570-723-0621
Mailing Address - Fax:570-724-1197
Practice Address - Street 1:103 WEST AVE
Practice Address - Street 2:WELLSBORO LAUREL HEALTH CENTER
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1358
Practice Address - Country:US
Practice Address - Phone:570-724-1010
Practice Address - Fax:570-724-3970
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMA001140L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
086325FEMMedicare ID - Type Unspecified
R97192Medicare UPIN