1902908726 NPI number — STEVE MCLAUGHLIN P.T.

Table of content: STEVE MCLAUGHLIN P.T. (NPI 1902908726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902908726 NPI number — STEVE MCLAUGHLIN P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCLAUGHLIN
Provider First Name:
STEVE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCLAUGHLIN
Provider Other First Name:
STEVE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902908726
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
308 JUNIPER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUAKERTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18951-1604
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-538-9245
Provider Business Mailing Address Fax Number:
215-538-9984

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
308 JUNIPER ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUAKERTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18951-1604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-538-9245
Provider Business Practice Location Address Fax Number:
215-538-9984
Provider Enumeration Date:
09/02/2006

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: 2251X0800X , with the licence number:  PT008495L , 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)

  • Identifier: 0728511000 . This is a "IBC INDIVIDUAL PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7831548 . This is a "AETNA PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2626965000 . This is a "IBC PROVIDER #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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