1760862916 NPI number — WESTMORELAND FOOT & ANKLE CARE, 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 1760862916 NPI number — WESTMORELAND FOOT & ANKLE CARE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTMORELAND FOOT & ANKLE CARE, 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:
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:
1760862916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8981 NORWIN AVE
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
IRWIN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15642-2746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-863-0996
Provider Business Mailing Address Fax Number:
724-863-8991

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8981 NORWIN AVE
Provider Second Line Business Practice Location Address:
STE 201
Provider Business Practice Location Address City Name:
ERWIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-832-1000
Provider Business Practice Location Address Fax Number:
724-837-4830
Provider Enumeration Date:
06/03/2015

Additional Information

Authorized Official

Authorized Official Last Name:
CINDRIC
Authorized Official First Name:
CHERRIE
Authorized Official Middle Name:
FABRY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
724-832-1000

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , 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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