University Of Penn - Pa Er

LBN: University Of Penn - Pa Er
University Of Penn - Pa Er is an health care organization with primary practice located at 3400 Spruce St Ground Silverstein Bldg, Philadelphia PA 19104-4206. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. University Of Penn - Pa Er can be contacted via phone (215) 662-6963, or through Johnston, Elizabeth via phone (215) 662-7583.

Contact Information

Primary practice address
3400 Spruce St Ground Silverstein Bldg Philadelphia PA 19104-4206
Phone: (215) 662-6963
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnston, Elizabeth
Phone: (215) 662-7583

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X

Profile Details

NPI number 1114957297
LBN Legal business name University Of Penn - Pa Er
DBA Doing business as
Authorized official Johnston, Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 22nd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114957297 NPPES
Pennsylvania Other 089398 BLUE SHIELD
Pennsylvania MEDICAID 0015839360041 BLUE SHIELD

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