1508865163 NPI number — BERNARD S ZORANSKI D O P C

Table of content: ANDREA WHITE COLLINS CRNP (NPI 1750536975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508865163 NPI number — BERNARD S ZORANSKI D O P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BERNARD S ZORANSKI D O P C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1508865163
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 175
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHUMBERLAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17857-0175
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-988-0925
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1788 WILMINGTON PIKE
Provider Second Line Business Practice Location Address:
SUITE 2400
Provider Business Practice Location Address City Name:
GLEN MILLS
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19342-8181
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-358-9058
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
REINARD
Authorized Official First Name:
JANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING AGENT
Authorized Official Telephone Number:
570-988-0925

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , 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: 0012037050001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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