Heiliczer, Jonathan David

Heiliczer, Jonathan David is an individual health care provider with primary practice located at St. Christopher'S Hospital For Children Erie Avenue At Front Street, Philadelphia PA 19134-1095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Heiliczer, Jonathan David can be contacted via phone (215) 427-5190.

Contact Information

Primary practice address
St. Christopher'S Hospital For Children Erie Avenue At Front Street Philadelphia PA 19134-1095
Phone: (215) 427-5190
Fax: (215) 427-5351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD426008 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 25MA03488100 New Jersey

Profile Details

NPI number 1265480248
LBN Legal business name Heiliczer, Jonathan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 19 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 1265480248 NPPES
Pennsylvania MEDICAID 1012386320001

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