Izzo, Kenneth L
Izzo, Kenneth L is an individual health care provider with primary practice located at 1811 Bethlehem Pike Suite 221, Flourtown PA 19031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Izzo, Kenneth L can be contacted via phone (215) 233-1223.Contact Information
Primary practice address
1811 Bethlehem Pike Suite 221
Flourtown PA 19031
Phone: (215) 233-1223
Fax: (215) 233-1141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | MD017101 | Pennsylvania |
Profile Details
| NPI number | 1285725010 |
|---|---|
| LBN Legal business name | Izzo, Kenneth L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1285725010 | NPPES |
| Pennsylvania | Other | IZ112248 | BCBS PERSONAL CHOICE |
| Pennsylvania | MEDICAID | 01927385 | BCBS PERSONAL CHOICE |
| Pennsylvania | Other | 0060080000 | BCBS PERSONAL CHOICE |
| Pennsylvania | Other | 3503051 | BCBS PERSONAL CHOICE |
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