Trachtenberg, Jacob
Trachtenberg, Jacob is an sole proprietor health care provider with primary practice located at 559 W Germantown Pike , Norristown PA 19403-4250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Trachtenberg, Jacob can be contacted via phone (484) 622-1695.Contact Information
Primary practice address
559 W Germantown Pike
Norristown PA 19403-4250
Phone: (484) 622-1695
Fax: (484) 622-4259
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | MD014012E | Pennsylvania |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD014012E | Pennsylvania |
Profile Details
NPI number | 1518073915 |
---|---|
LBN Legal business name | Trachtenberg, Jacob |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 21st, 2006 |
Last updated | Jan 22nd, 2019 - about 6 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 | 1518073915 | NPPES |
Pennsylvania | MEDICAID | 098303001 |
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