University Of Penn-Medical Group

LBN: University Of Penn-Medical Group
University Of Penn-Medical Group is an health care organization with primary practice located at 3535 Market St 3Rd Floor, Philadelphia PA 19104-3309. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. University Of Penn-Medical Group can be contacted via phone (215) 746-6700, or through Jackson, Chante L via phone (215) 662-6187.

Contact Information

Primary practice address
3535 Market St 3Rd Floor Philadelphia PA 19104-3309
Phone: (215) 746-6700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Chante L Doctor of Osteopathy (DO)
Phone: (215) 662-6187

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Pennsylvania
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X Pennsylvania
Behavioral Health & Social Service Providers / Social Worker 104100000X Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X Pennsylvania
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X Pennsylvania

Profile Details

NPI number 1821486846
LBN Legal business name University Of Penn-Medical Group
DBA Doing business as
Authorized official Jackson, Chante L Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2014
Last updated Nov 20th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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