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
Phone: (215) 427-5202
Fax: (215) 427-8192
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265480123 | NPPES |
Pennsylvania | MEDICAID | 0010139700007 |
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