Entwistle, John Walter

Entwistle, John Walter is an individual health care provider with primary practice located at 1100 Walnut St Mob Bldg., Suite 500, Philadelphia PA 19107-5563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Entwistle, John Walter can be contacted via phone (215) 955-6750.

Contact Information

Primary practice address
1100 Walnut St Mob Bldg., Suite 500 Philadelphia PA 19107-5563
Phone: (215) 955-6750
Fax: (215) 923-8222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD067034L Pennsylvania

Profile Details

NPI number 1831132398
LBN Legal business name Entwistle, John Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Nov 1st, 2012 - about 14 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 1831132398 NPPES
Pennsylvania MEDICAID 001851572
Pennsylvania MEDICAID 8566208

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