Provider Demographics
NPI:1598145021
Name:PUBLIC HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:PUBLIC HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUBLIC HEALTH CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DULEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-206-2035
Mailing Address - Street 1:1519 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17102-1911
Mailing Address - Country:US
Mailing Address - Phone:856-206-2035
Mailing Address - Fax:
Practice Address - Street 1:1519 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17102-1911
Practice Address - Country:US
Practice Address - Phone:856-206-2035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA=========Medicaid