Jackson Devose, Aja
Jackson Devose, Aja is an individual health care provider with primary practice located at 2401 W Cheltenham Ave , Wyncote PA 19095-2946. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson Devose, Aja can be contacted via phone (215) 444-7471.Contact Information
Primary practice address
2401 W Cheltenham Ave
Wyncote PA 19095-2946
Phone: (215) 444-7471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OTO14993 | Pennsylvania |
Profile Details
| NPI number | 1174863054 |
|---|---|
| LBN Legal business name | Jackson Devose, Aja |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2013 |
| Last updated | Aug 25th, 2022 - about 3 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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