Spillane, Kathleen Susan

Spillane, Kathleen Susan is an individual health care provider with primary practice located at 1208 Langhorne Newtown Rd , Langhorne PA 19047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Spillane, Kathleen Susan can be contacted via phone (877) 749-7428.

Contact Information

Primary practice address
1208 Langhorne Newtown Rd Langhorne PA 19047
Fax: (512) 628-3314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD424219 Pennsylvania

Profile Details

NPI number 1457339392
LBN Legal business name Spillane, Kathleen Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2005
Last updated Jun 1st, 2021 - 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 1457339392 NPPES
Pennsylvania Other 1647740 BLUE CHOICE / PERS CHOICE
Pennsylvania Other 7057597 BLUE CHOICE / PERS CHOICE
Pennsylvania Other 4592562 BLUE CHOICE / PERS CHOICE

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