Clancy, Patricia Ann
Clancy, Patricia Ann is an individual health care provider with primary practice located at 525 W Chester Pike Ste 201 , Havertown PA 19083-4540. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Clancy, Patricia Ann can be contacted via phone (610) 449-9666.Contact Information
Primary practice address
525 W Chester Pike Ste 201
Havertown PA 19083-4540
Phone: (610) 449-9666
Fax: (610) 449-9822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4863 | Alaska |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4863 | Alaska |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD418776 | Pennsylvania |
Profile Details
| NPI number | 1649228552 |
|---|---|
| LBN Legal business name | Clancy, Patricia Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 10th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649228552 | NPPES |
| Alaska | MEDICAID | HS19OP | |
| Alaska | MEDICAID | HS19IP |
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