1568285583 NPI number — MR. JACK DEWAYNE CECIL JR. CRNP

Table of content: MR. JACK DEWAYNE CECIL JR. CRNP (NPI 1568285583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568285583 NPI number — MR. JACK DEWAYNE CECIL JR. CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CECIL
Provider First Name:
JACK
Provider Middle Name:
DEWAYNE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
CRNP
Provider Gender Code:
M

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:
1568285583
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/07/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 BRANCH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLE VERNON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15012-2308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-322-1939
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
728 BROAD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLE VERNON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15012-1513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-929-2550
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2024

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:  SP031244 , 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)





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