Glenn, Kathleen Destefano

Glenn, Kathleen Destefano is an individual health care provider with primary practice located at 196 W Sproul Rd Healthplex Suite 205, Springfield PA 19064-2045. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Glenn, Kathleen Destefano can be contacted via phone (610) 604-0888.

Contact Information

Primary practice address
196 W Sproul Rd Healthplex Suite 205 Springfield PA 19064-2045
Phone: (610) 604-0888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS017291 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1760772198
LBN Legal business name Glenn, Kathleen Destefano
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated May 20th, 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.

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