Delcollo, Jason
Delcollo, Jason is an individual health care provider with primary practice located at 300 Evergreen Dr Suite 330, Glen Mills PA 19342-1059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Delcollo, Jason can be contacted via phone (610) 579-3444.Contact Information
Primary practice address
300 Evergreen Dr Suite 330
Glen Mills PA 19342-1059
Phone: (610) 579-3444
Fax: (610) 579-3449
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C20009997 | Delaware |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS015963 | Pennsylvania |
Profile Details
NPI number | 1902033707 |
---|---|
LBN Legal business name | Delcollo, Jason |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2009 |
Last updated | Mar 17th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902033707 | NPPES |
Delaware | MEDICAID | 1902033707 |
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