Dissin, Jonathan
Dissin, Jonathan is an individual health care provider with primary practice located at 5401 Old York Rd Suite 300, Philadelphia PA 19141-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Dissin, Jonathan can be contacted via phone (215) 456-7190.Contact Information
Primary practice address
5401 Old York Rd Suite 300
Philadelphia PA 19141-3030
Phone: (215) 456-7190
Fax: (215) 456-7308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD039553L | Pennsylvania |
Profile Details
| NPI number | 1518927276 |
|---|---|
| LBN Legal business name | Dissin, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Aug 4th, 2015 - about 10 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 | 1518927276 | NPPES |
| Pennsylvania | MEDICAID | 001615708003 |
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