Chrusch, Adam Terrence

Chrusch, Adam Terrence is an individual health care provider with primary practice located at 510 Township Line Rd Ste 110 , Blue Bell PA 19422-2721. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Chrusch, Adam Terrence can be contacted via phone (800) 321-9999.

Contact Information

Primary practice address
510 Township Line Rd Ste 110 Blue Bell PA 19422-2721
Fax: (267) 479-1321
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME153117 Florida
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD432526 Pennsylvania

Profile Details

NPI number 1851550495
LBN Legal business name Chrusch, Adam Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Feb 15th, 2022 - about 2 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 1851550495 NPPES
Pennsylvania MEDICAID 102301230-00
Pennsylvania Other 154946-JDB

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