Ennis, Peter D
Ennis, Peter D is an individual health care provider with primary practice located at 30 Lawrence Rd Suite 201, Broomall PA 19008-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ennis, Peter D can be contacted via phone (610) 492-5900.Contact Information
Primary practice address
30 Lawrence Rd Suite 201
Broomall PA 19008-3301
Phone: (610) 492-5900
Fax: (610) 492-5903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD059272L | Pennsylvania |
Profile Details
| NPI number | 1508893926 |
|---|---|
| LBN Legal business name | Ennis, Peter D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Feb 6th, 2018 - about 7 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 | 1508893926 | NPPES |
| Pennsylvania | Other | 2512918 | AETNA HMO |
| Pennsylvania | Other | 7910189 | AETNA HMO |
| Pennsylvania | Other | 0651758000 | AETNA HMO |
| Pennsylvania | Other | 779455 | AETNA HMO |
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