Brislin, Kenneth J

Brislin, Kenneth J is an individual health care provider with primary practice located at 250 Cetronia Road Suite 303, Allentown PA 18104-9168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Brislin, Kenneth J can be contacted via phone (610) 973-6200.

Contact Information

Primary practice address
250 Cetronia Road Suite 303 Allentown PA 18104-9168
Phone: (610) 973-6200
Fax: (610) 973-6546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD074181L Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD074181L Pennsylvania

Profile Details

NPI number 1922090257
LBN Legal business name Brislin, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jan 16th, 2014 - about 10 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 1922090257 NPPES
Pennsylvania Other 1637940 BLUE SHIELD
Pennsylvania MEDICAID 1011059120001 BLUE SHIELD
Pennsylvania Other P3462562 BLUE SHIELD
Pennsylvania Other 7716478 BLUE SHIELD
Pennsylvania Other 2312743000 BLUE SHIELD
Pennsylvania Other 89078 BLUE SHIELD
Pennsylvania Other 2000705 BLUE SHIELD
Pennsylvania Other 821238 BLUE SHIELD
Pennsylvania Other 1637940 BLUE SHIELD
Pennsylvania Other 50041754 BLUE SHIELD
Pennsylvania Other P00146237 BLUE SHIELD

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