Kephart, Eric M
Kephart, Eric M is an individual health care provider with primary practice located at 100 Lincoln Hwy , Fairless Hills PA 19030-1008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kephart, Eric M can be contacted via phone (267) 587-0775.Contact Information
Primary practice address
100 Lincoln Hwy
Fairless Hills PA 19030-1008
Phone: (267) 587-0775
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OS014338 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS014338 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OT011732 | Pennsylvania |
Profile Details
| NPI number | 1104913680 |
|---|---|
| LBN Legal business name | Kephart, Eric M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Feb 15th, 2022 - about 2 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 | 1104913680 | NPPES |
| Pennsylvania | MEDICAID | 1022699560002 |
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