Wimmer, Deborah
Wimmer, Deborah is an individual health care provider with primary practice located at 1035 W Berks St , Philadelphia PA 19122-1909. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wimmer, Deborah can be contacted via phone (215) 765-6690.Contact Information
Primary practice address
1035 W Berks St
Philadelphia PA 19122-1909
Phone: (215) 765-6690
Fax: (215) 765-6694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | VP000315D | Pennsylvania |
Profile Details
| NPI number | 1588614267 |
|---|---|
| LBN Legal business name | Wimmer, Deborah |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Oct 16th, 2008 - about 18 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 | 1588614267 | NPPES |
| Pennsylvania | Other | 30027031 | KEYSTONE MERCY HEALTH PLAN |
| Pennsylvania | Other | 1845164 | KEYSTONE MERCY HEALTH PLAN |
| Pennsylvania | Other | 2701047000 | KEYSTONE MERCY HEALTH PLAN |
| Pennsylvania | Other | 1488081 | KEYSTONE MERCY HEALTH PLAN |
| Pennsylvania | MEDICAID | 1014618380001 | KEYSTONE MERCY HEALTH PLAN |
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