1205187812 NPI number — CATHERINE MARGARET GIALANELLA FITTERS 0F2375

Table of content: CATHERINE MARGARET GIALANELLA FITTERS 0F2375 (NPI 1205187812)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205187812 NPI number — CATHERINE MARGARET GIALANELLA FITTERS 0F2375

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GIALANELLA
Provider First Name:
CATHERINE
Provider Middle Name:
MARGARET
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FITTERS 0F2375
Provider Gender Code:
F

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:
1205187812
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/21/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3126 LAKESIDE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARVEYS LAKE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18618-3240
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-639-5888
Provider Business Mailing Address Fax Number:
570-639-5260

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3126 LAKESIDE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARVEYS LAKE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18618-3240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-674-3998
Provider Business Practice Location Address Fax Number:
570-639-5260
Provider Enumeration Date:
09/21/2012

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: 237700000X , with the licence number:  F02375 , 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: F02375 . This is a "PENNSYLVANIA DEPARTMENT OF HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: F02375 . This is a "HEARING HEALTH PROVIDER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com