1134257066 NPI number — DONRICH SOLUTIONS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134257066 NPI number — DONRICH SOLUTIONS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DONRICH SOLUTIONS, 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:
1134257066
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3812 WILLIAM FLYNN HWY
Provider Second Line Business Mailing Address:
BLDG 12
Provider Business Mailing Address City Name:
ALLISON PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15101-3660
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-487-1955
Provider Business Mailing Address Fax Number:
412-487-1776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3812 WILLIAM FLYNN HWY
Provider Second Line Business Practice Location Address:
BLDG 12
Provider Business Practice Location Address City Name:
ALLISON PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15101-3660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-487-1955
Provider Business Practice Location Address Fax Number:
412-487-1776
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
STACHELEK
Authorized Official First Name:
DONALD
Authorized Official Middle Name:
RICHARD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-487-1955

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1011578390001 . This is a "PA DEPT OF PUBLIC WELFAR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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