1942455340 NPI number — STEP BY STEP INC.

Table of content: (NPI 1942455340)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942455340 NPI number — STEP BY STEP INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEP BY STEP INC.
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:
1942455340
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
744 KIDDER ST
Provider Second Line Business Mailing Address:
CROSS VALLEY COMMONS BLDG.
Provider Business Mailing Address City Name:
WILKES BARRE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18702-7015
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
570-829-3477
Provider Business Mailing Address Fax Number:
570-829-7918

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
623 W UNION BLVD
Provider Second Line Business Practice Location Address:
UNIT 6
Provider Business Practice Location Address City Name:
BETHLEHEM
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18018-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-867-0688
Provider Business Practice Location Address Fax Number:
610-867-9217
Provider Enumeration Date:
11/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BOBECK
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
570-829-3477

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X , with the licence number:  220090 , 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: 220090 . This is a "CERTIFICATE OF COMPLIANCE; COMMONWEALTH OF PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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