Fobia, John B
Fobia, John B is an individual health care provider with primary practice located at 501 S 54Th St Suite 227, Philadelphia PA 19143-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fobia, John B can be contacted via phone (215) 748-9653.Contact Information
Primary practice address
501 S 54Th St Suite 227
Philadelphia PA 19143-1900
Phone: (215) 748-9653
Fax: (215) 748-9667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD021128 | Pennsylvania |
Profile Details
| NPI number | 1760472492 |
|---|---|
| LBN Legal business name | Fobia, John B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Oct 23rd, 2008 - about 18 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 | 1760472492 | NPPES |
| Pennsylvania | Other | 4100588 | AETNA OTHER |
| Pennsylvania | MEDICAID | 0009005560005 | AETNA OTHER |
| Pennsylvania | Other | 1153304 | AETNA OTHER |
| Pennsylvania | Other | 1544375 | AETNA OTHER |
| Pennsylvania | Other | 0052566000 | AETNA OTHER |
| Pennsylvania | Other | 2610919 | AETNA OTHER |
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