1649404922 NPI number — MRS. BARBARA ANN SHUEY AS. IN HUMAN SERVICE

Table of content: MRS. BARBARA ANN SHUEY AS. IN HUMAN SERVICE (NPI 1649404922)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649404922 NPI number — MRS. BARBARA ANN SHUEY AS. IN HUMAN SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHUEY
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
AS. IN HUMAN SERVICE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649404922
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/14/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 N 7TH STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17046-5040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-273-1710
Provider Business Mailing Address Fax Number:
717-273-1416

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
350 N SIXTH AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17046-4065
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-274-9686
Provider Business Practice Location Address Fax Number:
717-274-9549
Provider Enumeration Date:
05/14/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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