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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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