Chavin, Kenneth David

Chavin, Kenneth David is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chavin, Kenneth David can be contacted via phone (215) 707-5030.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-5030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 35.130003 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X MD043970E Pennsylvania

Profile Details

NPI number 1801901731
LBN Legal business name Chavin, Kenneth David
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 28th, 2022 - about 3 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 1801901731 NPPES
South Carolina MEDICAID 149850

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