Joseph, Nicol E.

Joseph, Nicol E. is an individual health care provider with primary practice located at 4190 City Ave Suite 315, Philadelphia PA 19131-1626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Joseph, Nicol E. can be contacted via phone (215) 871-6844.

Contact Information

Primary practice address
4190 City Ave Suite 315 Philadelphia PA 19131-1626
Fax: (215) 871-6932
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X OS013738 Pennsylvania

Profile Details

NPI number 1568494029
LBN Legal business name Joseph, Nicol E.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 25th, 2016 - about 10 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 1568494029 NPPES
Pennsylvania MEDICAID 101695926

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