Christoforatos, Dimitra

Christoforatos, Dimitra is an sole proprietor health care provider with primary practice located at 2000 Sproul Road Suite 206, Broomall PA 19008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Christoforatos, Dimitra can be contacted via phone (610) 284-0200.

Contact Information

Primary practice address
2000 Sproul Road Suite 206 Broomall PA 19008
Phone: (610) 284-0200
Fax: (610) 353-7932
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X SP008184 Pennsylvania

Profile Details

NPI number 1740495506
LBN Legal business name Christoforatos, Dimitra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Nov 10th, 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 1740495506 NPPES
Pennsylvania Other RN526518L RN LICENSE
Pennsylvania Other 003706 RN LICENSE
Pennsylvania Other SP008184 RN LICENSE

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