Waskin, Jeffrey A
Waskin, Jeffrey A is an individual health care provider with primary practice located at 1000 N Westmoreland Rd , Lake Forest IL 60045-1658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Waskin, Jeffrey A can be contacted via phone (724) 516-4472.Contact Information
Primary practice address
1000 N Westmoreland Rd
Lake Forest IL 60045-1658
Phone: (724) 516-4472
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036146889 | Illinois |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | OS016123 | Pennsylvania |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.146889 | Illinois |
Profile Details
NPI number | 1518283431 |
---|---|
LBN Legal business name | Waskin, Jeffrey A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 16th, 2010 |
Last updated | Jan 8th, 2024 - about 10 months 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 | 1518283431 | NPPES |
Pennsylvania | MEDICAID | 102865216 | |
Pennsylvania | Other | 036146889 |
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