1912918335 NPI number — MARGARET ANN BIANCHI PT

Table of content: MARGARET ANN BIANCHI PT (NPI 1912918335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912918335 NPI number — MARGARET ANN BIANCHI PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIANCHI
Provider First Name:
MARGARET
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT
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:
1912918335
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1658 GUFFEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRWIN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15642-9773
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-864-2347
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13898 ROUTE 30
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRWIN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642-1131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-861-6001
Provider Business Practice Location Address Fax Number:
724-861-9155
Provider Enumeration Date:
08/10/2006

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: 225100000X , with the licence number:  PT002961L , 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: 5271587 . This is a "AETNA US HEALTHCARE PPO/P" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 01827343 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 967389 . This is a "AETNA US HEALTHCARE HMO/Q" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: BI828356 . This is a "HIGHMARK/KEYSTONE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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