Deppert, Eric J

Deppert, Eric J is an individual health care provider with primary practice located at 1001 Baltimore Pike Suite 109, Springfield PA 19064-2800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Deppert, Eric J can be contacted via phone (610) 690-1776.

Contact Information

Primary practice address
1001 Baltimore Pike Suite 109 Springfield PA 19064-2800
Phone: (610) 690-1776
Fax: (610) 690-1777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD047585L Pennsylvania

Profile Details

NPI number 1891793873
LBN Legal business name Deppert, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 10th, 2010 - about 15 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 1891793873 NPPES
Pennsylvania MEDICAID 0014085330001

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