Grzybowski, Joan M.
Grzybowski, Joan M. is an individual health care provider with primary practice located at 4190 City Ave , Philadelphia PA 19131-1626. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Grzybowski, Joan M. can be contacted via phone (215) 871-6380.Contact Information
Primary practice address
4190 City Ave
Philadelphia PA 19131-1626
Phone: (215) 871-6380
Fax: (215) 871-6381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS006483L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS006483L | Pennsylvania |
Profile Details
| NPI number | 1285675256 |
|---|---|
| LBN Legal business name | Grzybowski, Joan M. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 6th, 2019 - about 5 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 | 1285675256 | NPPES |
| Pennsylvania | Other | 1027872 | KEYSTONE MERCY |
| Pennsylvania | Other | 0122425001 | KEYSTONE MERCY |
| Pennsylvania | Other | 16523-OS006483L | KEYSTONE MERCY |
| Pennsylvania | Other | 2260420 | KEYSTONE MERCY |
| Pennsylvania | Other | 009163GFH | KEYSTONE MERCY |
| Pennsylvania | Other | 0191601000 | KEYSTONE MERCY |
| Pennsylvania | Other | 009163 | KEYSTONE MERCY |
| Pennsylvania | MEDICAID | 0012242500001 | KEYSTONE MERCY |
| Pennsylvania | Other | P00176615/DC5012 | KEYSTONE MERCY |
| Pennsylvania | Other | 080142306/CC4910 | KEYSTONE MERCY |
| Pennsylvania | Other | 17713-OS006483L | KEYSTONE MERCY |
| Pennsylvania | Other | 4837399 | KEYSTONE MERCY |
| Pennsylvania | Other | 0000437 | KEYSTONE MERCY |
| Pennsylvania | Other | 0191601000 | KEYSTONE MERCY |
| Pennsylvania | Other | 10928051 | KEYSTONE MERCY |
| Pennsylvania | Other | 1105398 | KEYSTONE MERCY |
| Pennsylvania | Other | 249621 | KEYSTONE MERCY |
| Pennsylvania | Other | 4279361 | KEYSTONE MERCY |
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