Dolphin, Basil

Dolphin, Basil is an individual health care provider with primary practice located at 2649 Schoenersville Rd Suite 102, Bethlehem PA 18017-7326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Dolphin, Basil can be contacted via phone (484) 884-2249.

Contact Information

Primary practice address
2649 Schoenersville Rd Suite 102 Bethlehem PA 18017-7326
Phone: (484) 884-2249
Fax: (484) 884-8034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD062171-L Pennsylvania

Profile Details

NPI number 1104991645
LBN Legal business name Dolphin, Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 13th, 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 1104991645 NPPES
Pennsylvania MEDICAID 102641760-0001
Pennsylvania MEDICAID 100730341-0008

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