Kallish, Staci M
Kallish, Staci M is an individual health care provider with primary practice located at 3400 Civic Center Blvd. 1St Floor, Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Kallish, Staci M can be contacted via phone (215) 662-2454.Contact Information
Primary practice address
3400 Civic Center Blvd. 1St Floor
Philadelphia PA 19104
Phone: (215) 662-2454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | OS014273 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | OS014273 | Pennsylvania |
Profile Details
| NPI number | 1811152796 |
|---|---|
| LBN Legal business name | Kallish, Staci M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2008 |
| Last updated | Sep 13th, 2019 - about 5 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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