Bottger, David Avery

Bottger, David Avery is an sole proprietor health care provider with primary practice located at 3855 W Chester Pike Suite 230, Newtown Square PA 19073-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bottger, David Avery can be contacted via phone (610) 355-1929.

Contact Information

Primary practice address
3855 W Chester Pike Suite 230 Newtown Square PA 19073-2304
Phone: (610) 355-1929
Fax: (610) 355-1926
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD045572E Pennsylvania

Profile Details

NPI number 1013971209
LBN Legal business name Bottger, David Avery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Feb 25th, 2014 - 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 1013971209 NPPES
Pennsylvania Other 000612038 PA BLUE SHIELD
Pennsylvania Other 0440161000 PA BLUE SHIELD
Pennsylvania Other 1046353003 PA BLUE SHIELD
Pennsylvania Other 99581 PA BLUE SHIELD

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