Travaline, John
Travaline, John 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. Travaline, John can be contacted via phone (215) 707-5864.Contact Information
Primary practice address
3401 N Broad St
Philadelphia PA 19140-5103
Phone: (215) 707-5864
Fax: (215) 707-6867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD043688L | Pennsylvania |
Profile Details
| NPI number | 1417945460 |
|---|---|
| LBN Legal business name | Travaline, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417945460 | NPPES |
| Pennsylvania | MEDICAID | 0014415740001 |
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