Gurwin, Jaclyn Beth
Gurwin, Jaclyn Beth is an individual health care provider with primary practice located at 1018 W 9Th Ave Ste 100 , King Of Prussia PA 19406-1225. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Gurwin, Jaclyn Beth can be contacted via phone (610) 337-1580.Contact Information
Primary practice address
1018 W 9Th Ave Ste 100
King Of Prussia PA 19406-1225
Phone: (610) 337-1580
Fax: (610) 337-2133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 71271-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 71271-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD473326 | Pennsylvania |
Profile Details
| NPI number | 1194107649 |
|---|---|
| LBN Legal business name | Gurwin, Jaclyn Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2015 |
| Last updated | Feb 8th, 2022 - about 4 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 | 1194107649 | NPPES |
| Wisconsin | MEDICAID | 1194107649 |
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