Lorraine Bohanske Possanza
Primary Podiatric Medicine
1246 W Main St
Norristown
, Pennsylvania 19401-4365
Lorraine Bohanske Possanza
Primary Podiatric Medicine
1246 W Main St
Norristown
, Pennsylvania 19401-4365
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Lorraine Bohanske Possanza
- 418 Homestead Dr
- West Chester, PA
- Zip : 19382-8242
- Phone :
Second Address
- Lorraine Bohanske Possanza
- 1246 W Main St
- Norristown, PA
- Zip : 19401-4365
- Phone : (610) 272-6554
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | SC 002693-L | PA |
National Provider Identifier
| NPI | 1083937973 |
|---|---|
| Provider Name | Lorraine Bohanske Possanza |
| First Address | West Chester, PA 19382-8242 |
| Second Address | Norristown, PA 19401-4365 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2010 |
| Last Update Date | 05/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04 0971585 | (05) | PA |
| BO 102324 | BLUE SHIELD (01) | |
| T28615 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.