1962596916 NPI number — A.S.HARPER, P.C.

Table of content: (NPI 1962596916)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962596916 NPI number — A.S.HARPER, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A.S.HARPER, P.C.
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:
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:
1962596916
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
322 MALL BLVD
Provider Second Line Business Mailing Address:
#218
Provider Business Mailing Address City Name:
MONROEVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15146-2241
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-823-1790
Provider Business Mailing Address Fax Number:
412-829-1750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 PENN AVE
Provider Second Line Business Practice Location Address:
#1501
Provider Business Practice Location Address City Name:
WILKINSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15221-2148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-247-2292
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HARPER
Authorized Official First Name:
AYLENE
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PSYCHOLOGIST
Authorized Official Telephone Number:
412-247-2292

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS006259L , 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: 1637945 . This is a "BLUE SHIELD GROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 127083 . This is a "BLUE SHIELD INDIVIDUAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0015466100001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: DC7350 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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