Welch, Gary

Welch, Gary is an individual health care provider with primary practice located at 3998 Red Lion Rd , Philadelphia PA 19114-1436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Trauma Surgery, which is considered as his primary health care specialty. Welch, Gary can be contacted via phone (215) 612-4000.

Contact Information

Primary practice address
3998 Red Lion Rd Philadelphia PA 19114-1436
Fax: (215) 807-8235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X OS006303E Pennsylvania

Profile Details

NPI number 1184642712
LBN Legal business name Welch, Gary
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 16th, 2007 - about 18 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 1184642712 NPPES
Pennsylvania Other 0089204000 KEYSTONE IBC
Pennsylvania Other 01091449-03 KEYSTONE IBC
Pennsylvania Other 174728 KEYSTONE IBC
Pennsylvania MEDICAID 0010914490004 KEYSTONE IBC
Pennsylvania Other 12618 KEYSTONE IBC
Pennsylvania Other 1090225 KEYSTONE IBC
Pennsylvania MEDICAID 0010914490008 KEYSTONE IBC
Pennsylvania Other 174728 KEYSTONE IBC
Pennsylvania Other 1749580 KEYSTONE IBC
Pennsylvania Other 20045182 KEYSTONE IBC

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