Kazanjian, Jack Elias

Kazanjian, Jack Elias is an individual health care provider with primary practice located at 510 Darby Rd , Havertown PA 19083-4630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Kazanjian, Jack Elias can be contacted via phone (610) 449-6499.

Contact Information

Primary practice address
510 Darby Rd Havertown PA 19083-4630
Phone: (610) 449-6499
Fax: (610) 449-9814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X OS010372L Pennsylvania

Profile Details

NPI number 1407880032
LBN Legal business name Kazanjian, Jack Elias
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 5th, 2007 - about 17 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 1407880032 NPPES
Pennsylvania MEDICAID 1018681980001

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