Wisgo, Christopher J

Wisgo, Christopher J is an individual health care provider with primary practice located at 3998 Red Lion Rd , Philadelphia PA 19114-1445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wisgo, Christopher J can be contacted via phone (215) 612-4963.

Contact Information

Primary practice address
3998 Red Lion Rd Philadelphia PA 19114-1445
Phone: (215) 612-4963
Fax: (215) 612-4532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD057309L Pennsylvania

Profile Details

NPI number 1861459000
LBN Legal business name Wisgo, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jan 5th, 2015 - about 11 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 1861459000 NPPES
Pennsylvania Other 0870310000 KEYSTONE
Pennsylvania Other 30010341 KEYSTONE
Pennsylvania Other 0016034670008 KEYSTONE
Pennsylvania Other 838274 KEYSTONE
Pennsylvania MEDICAID 001603467 KEYSTONE

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