1962463018 NPI number — MRS. KARENA K STRAIN O.D.

Table of content: MRS. KARENA K STRAIN O.D. (NPI 1962463018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962463018 NPI number — MRS. KARENA K STRAIN O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRAIN
Provider First Name:
KARENA
Provider Middle Name:
K
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
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:
1962463018
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1715 W MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17404-5418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-854-8130
Provider Business Mailing Address Fax Number:
717-854-7352

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1715 W MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-5418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-854-8130
Provider Business Practice Location Address Fax Number:
717-854-7352
Provider Enumeration Date:
03/29/2006

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: 152W00000X , with the licence number:  OEG001714 , 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: 2000271 . This is a "KEYSTONE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3532648 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7115521 . This is a "AETNA NON HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 240312 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 500034841 . This is a "CAPTIAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com