Dejonckheere, Joseph P

Dejonckheere, Joseph P is an individual health care provider with primary practice located at 99 Buss Rd Lower, Aliquippa PA 15001-4749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Dejonckheere, Joseph P can be contacted via phone (724) 891-5044.

Contact Information

Primary practice address
99 Buss Rd Lower Aliquippa PA 15001-4749
Fax: (724) 891-5049
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD419171 Pennsylvania

Profile Details

NPI number 1740276153
LBN Legal business name Dejonckheere, Joseph P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated May 9th, 2017 - 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 1740276153 NPPES
Pennsylvania MEDICAID 1012875750001

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