Jacquelyn Detweiler
DO | Pediatrics | Female
Jacquelyn Detweiler, DO is a Kennett Square, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jacquelyn Detweiler is
891 E Baltimore Pike, Kennett Square, Pennsylvania - 19348-1801. She can be contacted on phone at
610-444-0113 and fax number 610-444-0744.
Jacquelyn Detweiler is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacquelyn Detweiler is
1396747994 which was assigned by NPPES on 12 Aug, 2005 and it was last updated on 04 Jun, 2015.
Jacquelyn Detweiler license number is
OS009367L for Pediatrics (208000000X) in Pennsylvania.
Jacquelyn Detweiler is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacquelyn Detweiler basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacquelyn Detweiler |
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| Credential : | DO |
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| Gender : | Female |
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Business Address:
Jacquelyn Detweiler address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 891 E Baltimore Pike
Kennett Square, PA, 19348-1801
United States |
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| Phone Number : | 610-444-0113 |
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| Fax Number : | 610-444-0744 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396747994 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Aug, 2005 |
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| Last Updated On : | 04 Jun, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacquelyn Detweiler are as mentioned. Primary taxonomy code for Jacquelyn Detweiler, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 25MB07128100 | NJ |
| 208000000X | Pediatrics | Yes | OS009367L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Jacquelyn Detweiler such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8655707 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 891 E Baltimore Pike
Kennett Square, PA, 19348-1801
United States |
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| Phone Number : | 610-444-0113 |
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| Fax Number : | 610-444-0744 |
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Business Location:
Patients can refer following map for directions to
Jacquelyn Detweiler practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.