Jeruchim, Joan Doris
Jeruchim, Joan Doris is an sole proprietor health care provider with primary practice located at 2101 Market St Unit 3203 , Philadelphia PA 19103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeruchim, Joan Doris can be contacted via phone (610) 644-7415.Contact Information
Primary practice address
2101 Market St Unit 3203
Philadelphia PA 19103
Phone: (610) 644-7415
Fax: (775) 719-4764
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS-008612-L | Pennsylvania |
Profile Details
NPI number | 1558320622 |
---|---|
LBN Legal business name | Jeruchim, Joan Doris |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 18th, 2006 |
Last updated | Jul 15th, 2018 - about 6 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 | 1558320622 | NPPES |
Pennsylvania | Other | 1260848 | MULTI-PLAN |
Pennsylvania | Other | 4335760 | MULTI-PLAN |
Pennsylvania | Other | 230139000 | MULTI-PLAN |
Pennsylvania | Other | 186977 | MULTI-PLAN |
Pennsylvania | Other | 0026111000 | MULTI-PLAN |
Pennsylvania | Other | 1760255 | MULTI-PLAN |
Pennsylvania | Other | P3264689 | MULTI-PLAN |
Pennsylvania | Other | 001661854 | MULTI-PLAN |
Pennsylvania | Other | JE339389 | MULTI-PLAN |
Pennsylvania | Other | 4335760 | MULTI-PLAN |
Pennsylvania | Other | 230139000 | MULTI-PLAN |
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