Krisch, Robert Earle

Krisch, Robert Earle is an individual health care provider with primary practice located at 3400 Civic Center Blvd , Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Krisch, Robert Earle can be contacted via phone (215) 662-2428.

Contact Information

Primary practice address
3400 Civic Center Blvd Philadelphia PA 19104-5127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD023355E Pennsylvania

Profile Details

NPI number 1144298563
LBN Legal business name Krisch, Robert Earle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 13th, 2016 - about 8 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 1144298563 NPPES
Pennsylvania MEDICAID 0011059650001

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