Goplerud, Jan Marie

Goplerud, Jan Marie is an individual health care provider with primary practice located at Erie Ave At Front St , Philadelphia PA 19134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Goplerud, Jan Marie can be contacted via phone (215) 427-5202.

Contact Information

Primary practice address
Erie Ave At Front St Philadelphia PA 19134
Fax: (215) 427-8192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD 028755E Pennsylvania

Profile Details

NPI number 1265480123
LBN Legal business name Goplerud, Jan Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265480123 NPPES
Pennsylvania MEDICAID 0010139700007

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