Clauss, Heather E

Clauss, Heather E is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Clauss, Heather E can be contacted via phone (215) 707-3807.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Fax: (215) 707-4414
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD425978 Pennsylvania

Profile Details

NPI number 1114915014
LBN Legal business name Clauss, Heather E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Apr 20th, 2018 - about 6 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 1114915014 NPPES
Pennsylvania MEDICAID 1012373950001

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