Individual
JACQUELYN DETWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
891 E BALTIMORE PIKE, KENNETT SQUARE, PA 19348-1801
(610) 444-0113
(610) 444-0744
Mailing address
891 E BALTIMORE PIKE, KENNETT SQUARE, PA 19348-1801
(610) 444-0113
(610) 444-0744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB07128100
NJ
208000000X
Pediatrics Physician
Primary
OS009367L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8655707
—
NJ
Enumeration date
08/12/2005
Last updated
06/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us