Entwistle, John Walter
Entwistle, John Walter is an individual health care provider with primary practice located at 1100 Walnut St Mob Bldg., Suite 500, Philadelphia PA 19107-5563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Entwistle, John Walter can be contacted via phone (215) 955-6750.Contact Information
Primary practice address
1100 Walnut St Mob Bldg., Suite 500
Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD067034L | Pennsylvania |
Profile Details
| NPI number | 1831132398 |
|---|---|
| LBN Legal business name | Entwistle, John Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831132398 | NPPES |
| Pennsylvania | MEDICAID | 001851572 | |
| Pennsylvania | MEDICAID | 8566208 |
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