Rubinlicht, Jack

Rubinlicht, Jack is an individual health care provider with primary practice located at 1304 Rhawn St , Phila PA 19111-2870. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Rubinlicht, Jack can be contacted via phone (215) 742-1225.

Contact Information

Primary practice address
1304 Rhawn St Phila PA 19111-2870
Phone: (215) 742-1225
Fax: (215) 742-3902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001675L Pennsylvania

Profile Details

NPI number 1194703298
LBN Legal business name Rubinlicht, Jack
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Apr 21st, 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 1194703298 NPPES
Pennsylvania MEDICAID 000505327-0002

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