Jeruchim, Joan Doris

Jeruchim, Joan Doris is an sole proprietor health care provider with primary practice located at 2101 Market St Unit 3203 , Philadelphia PA 19103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeruchim, Joan Doris can be contacted via phone (610) 644-7415.

Contact Information

Primary practice address
2101 Market St Unit 3203 Philadelphia PA 19103
Phone: (610) 644-7415
Fax: (775) 719-4764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-008612-L Pennsylvania

Profile Details

NPI number 1558320622
LBN Legal business name Jeruchim, Joan Doris
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2006
Last updated Jul 15th, 2018 - about 8 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 1558320622 NPPES
Pennsylvania Other 1260848 MULTI-PLAN
Pennsylvania Other 4335760 MULTI-PLAN
Pennsylvania Other 230139000 MULTI-PLAN
Pennsylvania Other 186977 MULTI-PLAN
Pennsylvania Other 0026111000 MULTI-PLAN
Pennsylvania Other 1760255 MULTI-PLAN
Pennsylvania Other P3264689 MULTI-PLAN
Pennsylvania Other 001661854 MULTI-PLAN
Pennsylvania Other JE339389 MULTI-PLAN
Pennsylvania Other 4335760 MULTI-PLAN
Pennsylvania Other 230139000 MULTI-PLAN

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