1740226778 NPI number — MRS. ROSLYN F TRENNEY MS RD LDN

Table of content: MRS. ROSLYN F TRENNEY MS RD LDN (NPI 1740226778)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740226778 NPI number — MRS. ROSLYN F TRENNEY MS RD LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRENNEY
Provider First Name:
ROSLYN
Provider Middle Name:
F
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS RD LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TRENNEY
Provider Other First Name:
LYNN
Provider Other Middle Name:
F
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS RD LDN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1740226778
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:
323 SUNSET DRIVE
Provider Second Line Business Mailing Address:
ADAGIO HEALTH BUTLER SUITE 1
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-282-2730
Provider Business Mailing Address Fax Number:
724-282-3004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 CASCADE GALLENA PLAZA
Provider Second Line Business Practice Location Address:
ADAGIO HEALTH NEW CASTLE
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-658-6681
Provider Business Practice Location Address Fax Number:
724-658-6883
Provider Enumeration Date:
06/20/2006

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: 133N00000X , with the licence number:  DN001149 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 133V00000X , with the licence number: DN001149 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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