Jelen, Joseph A

Jelen, Joseph A is an sole proprietor health care provider with primary practice located at 2701 Holme Ave Suite 301, Philadelphia PA 19152-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jelen, Joseph A can be contacted via phone (215) 335-3315.

Contact Information

Primary practice address
2701 Holme Ave Suite 301 Philadelphia PA 19152-2029
Phone: (215) 335-3315
Fax: (215) 333-7921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD022825E Pennsylvania

Profile Details

NPI number 1720074271
LBN Legal business name Jelen, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Jun 28th, 2010 - about 14 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 1720074271 NPPES
Pennsylvania Other JE430760 PA BLUE SHIELD
Pennsylvania Other 30573 PA BLUE SHIELD
Pennsylvania MEDICAID 0009047240001 PA BLUE SHIELD
Pennsylvania Other 0052427000 PA BLUE SHIELD

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