1639125347 NPI number — WJO INC.

Table of content: (NPI 1639125347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639125347 NPI number — WJO INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WJO INC.
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:
6
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:
1639125347
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3554 HULMEVILLE RD.
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
BENSALEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19020
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-757-0465
Provider Business Mailing Address Fax Number:
215-757-0546

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1108 WOODBOURNE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEVITTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19057-1004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-583-1300
Provider Business Practice Location Address Fax Number:
215-504-9260
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MCMANUS
Authorized Official First Name:
KRISTINE
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR, HUMAN RESOURCES
Authorized Official Telephone Number:
215-757-0465

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2350100000 . This is a "IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1675135 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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