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Contact Information

JENNERSVILLE OPEN MRI AND IMAGING CENTER, LLC
900 W BALTIMORE PIKE
SUITE 102
WEST GROVE, PA19390
 Phone: 610-869-8889
 Fax: 610-869-7688
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JENNERSVILLE OPEN MRI AND IMAGING CENTER LLC · (Female)

NPI Number 1659488161
Status Active
Credentials
Entity Individual
Enumeration date 08/23/2006
Last updated 06/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # 3688169
  • PA Medicaid 1019122220001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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