Detweiler, Robert O

Detweiler, Robert O is an individual health care provider with primary practice located at 1970 North Broad Street , Lansdale PA 19446-1002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Detweiler, Robert O can be contacted via phone (215) 368-1900.

Contact Information

Primary practice address
1970 North Broad Street Lansdale PA 19446-1002
Fax: (215) 368-8772
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS005844L Pennsylvania

Profile Details

NPI number 1790751246
LBN Legal business name Detweiler, Robert O
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 11th, 2012 - about 12 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 1790751246 NPPES
Pennsylvania MEDICAID 129258101

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