Beckwith, William

Beckwith, William is an individual health care provider with primary practice located at 1703 S Broad St Ste 300, Phila PA 19148-1536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Beckwith, William can be contacted via phone (215) 462-7100.

Contact Information

Primary practice address
1703 S Broad St Ste 300 Phila PA 19148-1536
Fax: (215) 463-3820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD008012E Pennsylvania

Profile Details

NPI number 1215939178
LBN Legal business name Beckwith, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215939178 NPPES
Pennsylvania MEDICAID 0006283900001

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