Duckworth, Karen Melissa
Duckworth, Karen Melissa is an individual health care provider with primary practice located at 131 E Chelten Ave Health Care Center #9, Philadelphia PA 19144-2153. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Duckworth, Karen Melissa can be contacted via phone (215) 685-5701.Contact Information
Primary practice address
131 E Chelten Ave Health Care Center #9
Philadelphia PA 19144-2153
Phone: (215) 685-5701
Fax: (215) 685-5748
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD072825L | Pennsylvania |
Profile Details
NPI number | 1417969908 |
---|---|
LBN Legal business name | Duckworth, Karen Melissa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | Jul 8th, 2007 - about 16 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 | 1417969908 | NPPES |
Pennsylvania | MEDICAID | 0019082630001 |
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