Ufberg, Jacob Wilt

Ufberg, Jacob Wilt is an individual health care provider with primary practice located at 3401 N Broad Street Temple University Hospital, Philadelphia PA 19140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ufberg, Jacob Wilt can be contacted via phone (215) 707-5030.

Contact Information

Primary practice address
3401 N Broad Street Temple University Hospital Philadelphia PA 19140
Phone: (215) 707-5030
Fax: (215) 707-3494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD066368L Pennsylvania

Profile Details

NPI number 1487622585
LBN Legal business name Ufberg, Jacob Wilt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Mar 21st, 2017 - about 7 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 1487622585 NPPES
Pennsylvania MEDICAID 0017499710001
Pennsylvania Other 472534
Pennsylvania Other 0192907000

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