Oberle, Maureen

Oberle, Maureen is an individual health care provider with primary practice located at 5001 Frankford Ave , Philadelphia PA 19124-2619. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Oberle, Maureen can be contacted via phone (215) 288-5000.

Contact Information

Primary practice address
5001 Frankford Ave Philadelphia PA 19124-2619
Fax: (215) 744-1233
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001449 Pennsylvania
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00516200 New Jersey

Profile Details

NPI number 1174520753
LBN Legal business name Oberle, Maureen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 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 1174520753 NPPES
Pennsylvania MEDICAID 0017989760001
Pennsylvania MEDICAID 6171800

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