Boellner-Kahn, Alicia Anne
Boellner-Kahn, Alicia Anne is an individual health care provider with primary practice located at 3031 Walton Rd C101, Plymouth Meeting PA 19462-2369. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Boellner-Kahn, Alicia Anne can be contacted via phone (610) 825-3500.Contact Information
Primary practice address
3031 Walton Rd C101
Plymouth Meeting PA 19462-2369
Phone: (610) 825-3500
Fax: (610) 825-8502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD051015L | Pennsylvania |
Profile Details
| NPI number | 1336188465 |
|---|---|
| LBN Legal business name | Boellner-Kahn, Alicia Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336188465 | NPPES |
| Pennsylvania | MEDICAID | 0014630250004 |
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