1649412479 NPI number — MRS. JOANNA RAE SWANGER C.M.T.

Table of content: MRS. JOANNA RAE SWANGER C.M.T. (NPI 1649412479)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649412479 NPI number — MRS. JOANNA RAE SWANGER C.M.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SWANGER
Provider First Name:
JOANNA
Provider Middle Name:
RAE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
C.M.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEININGER
Provider Other First Name:
JOANNA
Provider Other Middle Name:
RAE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
C.M.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649412479
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
600 CENTRE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19601-2827
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-375-9319
Provider Business Mailing Address Fax Number:
610-375-0356

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 CENTRE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19601-2827
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-375-9319
Provider Business Practice Location Address Fax Number:
610-375-0356
Provider Enumeration Date:
03/25/2009

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: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com