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
Fax: (215) 748-9667
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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