Himmelstein, Fred Raymond

Himmelstein, Fred Raymond is an sole proprietor health care provider with primary practice located at 1015 W Baltimore Pike Jennersville Regional Hospital, West Grove PA 19390-9499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Himmelstein, Fred Raymond can be contacted via phone (610) 869-1000.

Contact Information

Primary practice address
1015 W Baltimore Pike Jennersville Regional Hospital West Grove PA 19390-9499
Phone: (610) 869-1000
Fax: (610) 617-6280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD024348E Pennsylvania

Profile Details

NPI number 1447203138
LBN Legal business name Himmelstein, Fred Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jan 22nd, 2013 - about 11 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 1447203138 NPPES
Pennsylvania MEDICAID 000949860

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