Heiliczer, Jonathan David
Heiliczer, Jonathan David is an individual health care provider with primary practice located at St. Christopher'S Hospital For Children Erie Avenue At Front Street, Philadelphia PA 19134-1095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Heiliczer, Jonathan David can be contacted via phone (215) 427-5190.Contact Information
Primary practice address
St. Christopher'S Hospital For Children Erie Avenue At Front Street
Philadelphia PA 19134-1095
Phone: (215) 427-5190
Fax: (215) 427-5351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD426008 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 25MA03488100 | New Jersey |
Profile Details
| NPI number | 1265480248 |
|---|---|
| LBN Legal business name | Heiliczer, Jonathan David |
| 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 | 1265480248 | NPPES |
| Pennsylvania | MEDICAID | 1012386320001 |
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