Wirjosemito, Salimi Achjadoe

Wirjosemito, Salimi Achjadoe is an individual health care provider with primary practice located at 915 Old Fern Hill Rd Building B, Suite 103, West Chester PA 19380-4269. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is his primary health care specialty. Wirjosemito, Salimi Achjadoe can be contacted via phone (610) 738-2590.

Contact Information

Primary practice address
915 Old Fern Hill Rd Building B, Suite 103 West Chester PA 19380-4269
Phone: (610) 738-2590
Fax: (610) 738-2688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X MD054801L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101028578 Virginia
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08122200 New Jersey
Allopathic & Osteopathic Physicians / Surgery 208600000X MD054801L Pennsylvania

Profile Details

NPI number 1619962743
LBN Legal business name Wirjosemito, Salimi Achjadoe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 4th, 2013 - about 12 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 1619962743 NPPES
Pennsylvania MEDICAID 102424703
Pennsylvania Other MD054801L

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