Hermawan, Ardi
Hermawan, Ardi is an individual health care provider with primary practice located at 2101 W Lehigh Ave Ste A , Philadelphia PA 19132-2664. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Hermawan, Ardi can be contacted via phone (267) 866-7211.Contact Information
Primary practice address
2101 W Lehigh Ave Ste A
Philadelphia PA 19132-2664
Phone: (267) 866-7211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP019639 | Pennsylvania |
Profile Details
| NPI number | 1891267753 |
|---|---|
| LBN Legal business name | Hermawan, Ardi |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2018 |
| Last updated | Jun 11th, 2020 - about 6 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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