Detweiler, Jacquelyn
Detweiler, Jacquelyn is an individual health care provider with primary practice located at 891 E Baltimore Pike , Kennett Square PA 19348-1801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Detweiler, Jacquelyn can be contacted via phone (610) 444-0113.Contact Information
Primary practice address
891 E Baltimore Pike
Kennett Square PA 19348-1801
Phone: (610) 444-0113
Fax: (610) 444-0744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MB07128100 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS009367L | Pennsylvania |
Profile Details
| NPI number | 1396747994 |
|---|---|
| LBN Legal business name | Detweiler, Jacquelyn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jun 4th, 2015 - about 9 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 | 1396747994 | NPPES |
| New Jersey | MEDICAID | 8655707 |
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