Vande Berg, Philip A

Vande Berg, Philip A is an individual health care provider with primary practice located at 3141 Chestnut St , Philadelphia PA 19104-2816. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vande Berg, Philip A can be contacted via phone (215) 895-0497.

Contact Information

Primary practice address
3141 Chestnut St Philadelphia PA 19104-2816
Phone: (215) 895-0497
Fax: (215) 895-1943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT-003104 Pennsylvania

Profile Details

NPI number 1609832112
LBN Legal business name Vande Berg, Philip A
Credentials M.S., A.T.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jul 8th, 2007 - about 17 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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