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
Phone: (610) 896-0280
Fax: (610) 896-0286
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487635587 | NPPES |
Pennsylvania | MEDICAID | 000707968 |
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