Jerdan, Dennis Albert
Jerdan, Dennis Albert is an individual health care provider with primary practice located at 2360 Maryland Rd , Willow Grove PA 19090-1709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Jerdan, Dennis Albert can be contacted via phone (215) 657-6776.Contact Information
Primary practice address
2360 Maryland Rd
Willow Grove PA 19090-1709
Phone: (215) 657-6776
Fax: (267) 913-5961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD071750-L | Pennsylvania |
Profile Details
| NPI number | 1588652200 |
|---|---|
| LBN Legal business name | Jerdan, Dennis Albert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Dec 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588652200 | NPPES |
| Pennsylvania | Other | 7041443 | AETNA |
| Pennsylvania | Other | MD071750-L | AETNA |
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