Withington, Amelia M

Withington, Amelia M is an sole proprietor health care provider with primary practice located at 4641 Roosevelt Blvd , Phila PA 19124-2343. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Withington, Amelia M can be contacted via phone (215) 831-4600.

Contact Information

Primary practice address
4641 Roosevelt Blvd Phila PA 19124-2343
Phone: (215) 831-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD051115L Pennsylvania

Profile Details

NPI number 1659323228
LBN Legal business name Withington, Amelia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659323228 NPPES
Pennsylvania Other MD051115L LICENSE NUMBER
Pennsylvania MEDICAID 0015620410001 LICENSE NUMBER

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