David, Izola Bernadette
David, Izola Bernadette is an individual health care provider with primary practice located at 4148 Lancaster Ave , Philadelphia PA 19104-1727. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. David, Izola Bernadette can be contacted via phone (215) 662-0119.Contact Information
Primary practice address
4148 Lancaster Ave
Philadelphia PA 19104-1727
Phone: (215) 662-0119
Fax: (215) 662-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS006306L | Pennsylvania |
Profile Details
| NPI number | 1447220769 |
|---|---|
| LBN Legal business name | David, Izola Bernadette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 26th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447220769 | NPPES |
| Pennsylvania | MEDICAID | 001132677 | |
| Pennsylvania | Other | 528237E7P |
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