Petrochko, Jameson Moore
Petrochko, Jameson Moore is an individual health care provider with primary practice located at 701 Ostrum St Ste 202 , Fountain Hill PA 18015-1152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Petrochko, Jameson Moore can be contacted via phone (484) 526-2200.Contact Information
Primary practice address
701 Ostrum St Ste 202
Fountain Hill PA 18015-1152
Phone: (484) 526-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT220236 | Pennsylvania |
Profile Details
| NPI number | 1962026062 |
|---|---|
| LBN Legal business name | Petrochko, Jameson Moore |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2020 |
| Last updated | Jun 4th, 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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