Pearlstein, Kenneth M

Pearlstein, Kenneth M is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4206. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Pearlstein, Kenneth M can be contacted via phone (215) 349-8310.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104-4206
Phone: (215) 349-8310
Fax: (215) 662-2739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN332454L Pennsylvania

Profile Details

NPI number 1518957323
LBN Legal business name Pearlstein, Kenneth M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 19th, 2012 - about 14 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 1518957323 NPPES
Pennsylvania MEDICAID 1013979980001

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