1144355702 NPI number — MRS. STEPHANIE ANN NICKMAN-TRIPLETT AU.D.

Table of content: MRS. STEPHANIE ANN NICKMAN-TRIPLETT AU.D. (NPI 1144355702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144355702 NPI number — MRS. STEPHANIE ANN NICKMAN-TRIPLETT AU.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NICKMAN-TRIPLETT
Provider First Name:
STEPHANIE
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
AU.D.
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:
1144355702
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 NICKMANS PLAZA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEMONT FURNACE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15456
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-437-3276
Provider Business Mailing Address Fax Number:
724-438-7006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8 NICKMANS PLAZA
Provider Second Line Business Practice Location Address:
AUDIOLOGY & HEARING AID SERVICES
Provider Business Practice Location Address City Name:
LEMONT FURNACE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-437-3276
Provider Business Practice Location Address Fax Number:
724-438-7006
Provider Enumeration Date:
02/23/2007

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: 231H00000X , with the licence number:  AT000134L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1516060 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 253093 . This is a "BEST HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1578697 . This is a "BC BS MICHAGAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1578697 . This is a "SECURITY BLUE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 319228 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1346369 . This is a "UNITED MINE WORKERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1578697 . This is a "HIGHMARK SERVICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 231698 . This is a "HEALTH AMERICA & ADVANTRA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1578697 . This is a "PEBTF" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 524510 . This is a "US HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01604 . This is a "NATIONAL EAR CARE PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 149349 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1560582 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 201674 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3432516 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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