Mauersberg, Jacob Andrew

Mauersberg, Jacob Andrew is an sole proprietor health care provider with primary practice located at 2050 W Chester Pike Ste 115 , Havertown PA 19083-2742. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist, which is considered as his primary health care specialty. Mauersberg, Jacob Andrew can be contacted via phone (610) 449-9669.

Contact Information

Primary practice address
2050 W Chester Pike Ste 115 Havertown PA 19083-2742
Phone: (610) 449-9669
Fax: (610) 449-5566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist 225A00000X 14675 Pennsylvania

Profile Details

NPI number 1497222491
LBN Legal business name Mauersberg, Jacob Andrew
Credentials MT-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2018
Last updated May 17th, 2020 - about 4 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 1497222491 NPPES
Pennsylvania MEDICAID 1035785900001
Pennsylvania MEDICAID 1035785900002

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