1174698104 NPI number — MS. BARBARA BYRNES CINCERA MSW CAC

Table of content: MS. BARBARA BYRNES CINCERA MSW CAC (NPI 1174698104)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174698104 NPI number — MS. BARBARA BYRNES CINCERA MSW CAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CINCERA
Provider First Name:
BARBARA
Provider Middle Name:
BYRNES
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW CAC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CINCERA
Provider Other First Name:
BARBARA
Provider Other Middle Name:
LOUISE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1174698104
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:
555 HARRISON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EMMAUS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-965-6418
Provider Business Mailing Address Fax Number:
610-965-6382

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 HARRISON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EMMAUS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18049
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-965-6418
Provider Business Practice Location Address Fax Number:
610-965-6382
Provider Enumeration Date:
11/22/2006

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: 1041C0700X , with the licence number:  SW 004729E , 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)





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