Krachman, Samuel

Krachman, Samuel is an individual health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Krachman, Samuel can be contacted via phone (215) 707-5864.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5103
Fax: (215) 707-6867
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X OS007839L Pennsylvania

Profile Details

NPI number 1093703043
LBN Legal business name Krachman, Samuel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 19th, 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 1093703043 NPPES
Pennsylvania MEDICAID 0012796140001

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