Promisloff, Robert Alan

Promisloff, Robert Alan is an individual health care provider with primary practice located at 1001 City Line Ave Wb 113, Wynnewood PA 19096-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Promisloff, Robert Alan can be contacted via phone (610) 896-0280.

Contact Information

Primary practice address
1001 City Line Ave Wb 113 Wynnewood PA 19096-3902
Fax: (610) 896-0286
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS003149L Pennsylvania

Profile Details

NPI number 1487635587
LBN Legal business name Promisloff, Robert Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 31st, 2016 - about 9 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 1487635587 NPPES
Pennsylvania MEDICAID 000707968

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