1902175664 NPI number — MRS. CHRISTINE LYNN FERENCUHA SHEFFLER RPH

Table of content: MRS. CHRISTINE LYNN FERENCUHA SHEFFLER RPH (NPI 1902175664)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902175664 NPI number — MRS. CHRISTINE LYNN FERENCUHA SHEFFLER RPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FERENCUHA SHEFFLER
Provider First Name:
CHRISTINE
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RPH
Provider Gender Code:
F

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:
1902175664
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNKER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15639-0116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-925-1121
Provider Business Mailing Address Fax Number:
724-532-5808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1906 DAILEY AVE
Provider Second Line Business Practice Location Address:
LINCOLN PLAZA
Provider Business Practice Location Address City Name:
LATROBE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15650-3030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-532-2120
Provider Business Practice Location Address Fax Number:
724-532-5808
Provider Enumeration Date:
12/23/2011

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: 183500000X , with the licence number:  RP038214L , 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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