Boschetti, John
Boschetti, John is an sole proprietor health care provider with primary practice located at 580 Reed Road , Broomall PA 19008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boschetti, John can be contacted via phone (610) 353-6767.Contact Information
Primary practice address
580 Reed Road
Broomall PA 19008
Phone: (610) 353-6767
Fax: (610) 325-0888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 05004442L | Pennsylvania |
Profile Details
| NPI number | 1528147410 |
|---|---|
| LBN Legal business name | Boschetti, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Jul 27th, 2010 - about 14 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 | 1528147410 | NPPES |
| Pennsylvania | MEDICAID | 1071929 | |
| Pennsylvania | Other | 477697 | |
| Pennsylvania | Other | 0032117001 | |
| Pennsylvania | Other | 5795035 |
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