Guthrie, Michael

Guthrie, Michael is an individual health care provider with primary practice located at 9523 Bustleton Ave , Philadelphia PA 19115-3801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Guthrie, Michael can be contacted via phone (215) 710-8994.

Contact Information

Primary practice address
9523 Bustleton Ave Philadelphia PA 19115-3801
Phone: (215) 710-8994
Fax: (267) 428-6457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD066100L Pennsylvania

Profile Details

NPI number 1295733301
LBN Legal business name Guthrie, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 13th, 2016 - about 8 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 1295733301 NPPES
Pennsylvania MEDICAID 001932536000

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