Lake, Pearl A
Lake, Pearl A is an sole proprietor health care provider with primary practice located at 2214 S 57Th St , Philadelphia PA 19143-5705. She recently has only one registered license in Other Service Providers / Military Health Care Provider, which is considered as her primary health care specialty. Lake, Pearl A can be contacted via phone (886) 884-8807.Contact Information
Primary practice address
2214 S 57Th St
Philadelphia PA 19143-5705
Phone: (886) 884-8807
Fax: (215) 825-5161
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | 70000634RMA | Pennsylvania |
| Other Service Providers / Military Health Care Provider | 171000000X | 7000.000000634RMA | Pennsylvania |
Profile Details
| NPI number | 1053907261 |
|---|---|
| LBN Legal business name | Lake, Pearl A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2020 |
| Last updated | Dec 12th, 2020 - 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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