Feudtner, John C

Feudtner, John C is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - General Pediatrics, Philadelphia PA 19104-4319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Feudtner, John C can be contacted via phone (215) 590-2164.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - General Pediatrics Philadelphia PA 19104-4319
Phone: (215) 590-2164
Fax: (215) 590-2180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD419265 Pennsylvania

Profile Details

NPI number 1134141138
LBN Legal business name Feudtner, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Apr 18th, 2013 - about 13 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 1134141138 NPPES
Pennsylvania MEDICAID 001914046
Pennsylvania MEDICAID 8952701

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