Bannon, Pamela Dorothy

Bannon, Pamela Dorothy is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Bannon, Pamela Dorothy can be contacted via phone (215) 707-5030.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Phone: (215) 707-5030
Fax: (215) 707-3494
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD443770 Pennsylvania

Profile Details

NPI number 1639303498
LBN Legal business name Bannon, Pamela Dorothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Mar 21st, 2017 - about 9 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 1639303498 NPPES
Pennsylvania MEDICAID 1028240440001

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