1750426318 NPI number — DRS OBRIEN AND ROBINSON LLC

Table of content: (NPI 1750426318)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750426318 NPI number — DRS OBRIEN AND ROBINSON LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DRS OBRIEN AND ROBINSON LLC
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:
1750426318
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/31/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21 S CHURCH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUARRYVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17566-1213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-786-4277
Provider Business Mailing Address Fax Number:
717-786-7624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 S CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUARRYVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17566-1213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-786-4277
Provider Business Practice Location Address Fax Number:
717-786-7624
Provider Enumeration Date:
02/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KREIDER
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
717-786-4277

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OEG000950 , 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: 22-04638 . This is a "EVERCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 732537 . This is a "ROBINSON BC BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1729842 . This is a "BC BS GROUP NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 410048000 . This is a "PALMETTO, GBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 683637 . This is a "OBRIEN BC BS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 22-04639 . This is a "EVERCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3051347 . This is a "AETNA US HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 410049796 . This is a "PALMETTO, GBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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