Ewig, Jeffrey Mark
Ewig, Jeffrey Mark is an individual health care provider with primary practice located at 3401 Civic Center Blvd , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Ewig, Jeffrey Mark can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3401 Civic Center Blvd
Philadelphia PA 19104
Phone: (215) 590-1000
Fax: (215) 590-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD453612 | Pennsylvania |
Profile Details
| NPI number | 1669453148 |
|---|---|
| LBN Legal business name | Ewig, Jeffrey Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Nov 26th, 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 | 1669453148 | NPPES |
| Pennsylvania | MEDICAID | 1029947970001 |
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