Hetzel, Jonathan Keppele
Hetzel, Jonathan Keppele is an sole proprietor health care provider with primary practice located at 413 Longwood Dr , Exton PA 19341-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hetzel, Jonathan Keppele can be contacted via phone (610) 363-8260.Contact Information
Primary practice address
413 Longwood Dr
Exton PA 19341-1719
Phone: (610) 363-8260
Fax: (610) 363-8002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD018132E | Pennsylvania |
Profile Details
| NPI number | 1871563916 |
|---|---|
| LBN Legal business name | Hetzel, Jonathan Keppele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 10th, 2012 - about 13 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 | 1871563916 | NPPES |
| Pennsylvania | Other | 2026826001 | INDEPENDENCE BLUE CROSS |
| Pennsylvania | Other | 000064046 | INDEPENDENCE BLUE CROSS |
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