1891891677 NPI number — FREDERICK J TROYER MA PCC

Table of content: FREDERICK J TROYER MA PCC (NPI 1891891677)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891891677 NPI number — FREDERICK J TROYER MA PCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TROYER
Provider First Name:
FREDERICK
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA PCC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TROYER
Provider Other First Name:
F
Provider Other Middle Name:
JOHN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA PCC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1891891677
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2106 BRAEWICK CIRCLE
Provider Second Line Business Mailing Address:
102
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44313-6259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-867-1118
Provider Business Mailing Address Fax Number:
440-934-8778

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2106 BRAEWICK CIRCLE
Provider Second Line Business Practice Location Address:
102
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44313-6259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-867-1118
Provider Business Practice Location Address Fax Number:
440-934-8778
Provider Enumeration Date:
09/16/2006

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: 101Y00000X , with the licence number:  E. 0002106 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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