Trachtenberg, Jacob

Trachtenberg, Jacob is an sole proprietor health care provider with primary practice located at 559 W Germantown Pike , Norristown PA 19403-4250. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Trachtenberg, Jacob can be contacted via phone (484) 622-1695.

Contact Information

Primary practice address
559 W Germantown Pike Norristown PA 19403-4250
Phone: (484) 622-1695
Fax: (484) 622-4259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD014012E Pennsylvania
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD014012E Pennsylvania

Profile Details

NPI number 1518073915
LBN Legal business name Trachtenberg, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jan 22nd, 2019 - about 7 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 1518073915 NPPES
Pennsylvania MEDICAID 098303001

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