De John, Svetlana

De John, Svetlana is an sole proprietor health care provider with primary practice located at 2135 E Chelten Ave , Phila PA 19138-2534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. De John, Svetlana can be contacted via phone (215) 424-5365.

Contact Information

Primary practice address
2135 E Chelten Ave Phila PA 19138-2534
Fax: (215) 424-5370
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA000517L Pennsylvania

Profile Details

NPI number 1124103023
LBN Legal business name De John, Svetlana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Aug 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124103023 NPPES
Pennsylvania Other 044560JT9 MEDICARE IDENTIFICATION NUMBER

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