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DEER LAKES MEDICAL ASSOCIATION NPI 1831239532


NPI Information

NPI: 1831239532
Provider Name: DEER LAKES MEDICAL ASSOCIATION

Doing Business As: DEER LAKES MEDICAL ASSOCIATION - CHESWICK

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
221 RUSSELLTON DORSEYVILLE RD
CHESWICK, PA
ZIP 15024
Phone: (412) 767-5387
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DEER LAKES MEDICAL ASSOCIATION is a non pharmacy dispensing site in Cheswick, PA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) DEER LAKES MEDICAL ASSOCIATION NPI is 1831239532. The provider is registered as an organization entity type.
The provider Is Doing Business As Deer Lakes Medical Association - Cheswick.

The provider's business location address is:

221 RUSSELLTON DORSEYVILLE RD
CHESWICK, PA
ZIP 15024-004
Phone: (412) 767-5387

The provider's authorized official is Kenny Heine .
The authorized official title is Director Of Operations and has the following contact phone number (858) 625-2990.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 6/25/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteMD053615LPENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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