National Provider Identifier Database

DEEP ROOTS CHARTER SCHOOL
School


Contact Information

DEEP ROOTS CHARTER SCHOOL
900 LINDLEY AVE
PHILADELPHIA, PA19141-3920
Phone: 267-324-5707
Fax:
Website:
Specialty Taxonomy Code
* School 363LS0200X

* Indicates primary specialty

NPI Profile & details for DEEP ROOTS CHARTER SCHOOL

NPI Number 1245020254
Legal business name
LBN
DEEP ROOTS CHARTER SCHOOL
Authorized official KEANNA AUSTIN - (DORCM)
Entity Organization
Organization subpart No
Enumeration date 05/12/2025
Last updated 05/12/2025 - More than a year 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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