National Provider Identifier Database

CREIGHTON CHARTER SCHOOL
Pediatrics


Contact Information

CREIGHTON CHARTER SCHOOL
5401 TABOR AVE
PHILADELPHIA, PA19120-2130
Phone: 215-537-2531
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X

* Indicates primary specialty

NPI Profile & details for CREIGHTON CHARTER SCHOOL

NPI Number 1912307307
Legal business name
LBN
CREIGHTON CHARTER SCHOOL
Authorized official JULIE COUSLER-EMIG - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/04/2014
Last updated 09/04/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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