Russo, Jacquelyn
Russo, Jacquelyn is an sole proprietor health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. She recently has only one registered license in Hospitals / Children, which is considered as her primary health care specialty. Russo, Jacquelyn can be contacted via phone (215) 427-5000.Contact Information
Primary practice address
160 E Erie Ave
Philadelphia PA 19134-1011
Phone: (215) 427-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Children | 282NC2000X | SP016464 | Pennsylvania |
Profile Details
| NPI number | 1093252538 |
|---|---|
| LBN Legal business name | Russo, Jacquelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2017 |
| Last updated | Jan 24th, 2017 - about 8 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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