Tsirakoglou, Despina
Tsirakoglou, Despina is an sole proprietor health care provider with primary practice located at 300 Pheasant Lane , Newtown Square PA 19073. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tsirakoglou, Despina can be contacted via phone (610) 570-9532.Contact Information
Primary practice address
300 Pheasant Lane
Newtown Square PA 19073
Phone: (610) 570-9532
Fax: (610) 325-0828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS-007639L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS-007639-L | Pennsylvania |
Profile Details
| NPI number | 1811950793 |
|---|---|
| LBN Legal business name | Tsirakoglou, Despina |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2006 |
| Last updated | May 24th, 2024 - about last year |
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 | 1811950793 | NPPES |
| Pennsylvania | MEDICAID | 001431139001 |
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