1912985508 NPI number — MS. ERIN JANE LEYDIG C.R.N.P

Table of content: MS. ERIN JANE LEYDIG C.R.N.P (NPI 1912985508)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912985508 NPI number — MS. ERIN JANE LEYDIG C.R.N.P

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEYDIG
Provider First Name:
ERIN
Provider Middle Name:
JANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
C.R.N.P
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GALLAGHER
Provider Other First Name:
ERIN
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
C.R.N.P.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1912985508
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12 HARRINGTON WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-6033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-331-7572
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 BRINTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221-4533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-525-0204
Provider Business Practice Location Address Fax Number:
888-816-8109
Provider Enumeration Date:
01/04/2006

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: 363LF0000X , with the licence number:  SP008764 , 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)