Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 6000001743 | PA |
NPI | 1134118433 |
---|---|
Provider Name | Mr. Harjinder S Sabherwal |
First Address | Erie, PA 16504-1846 |
Second Address | Erie, PA 16504-1846 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 04/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0005687010001 | PUBLIC ASSISTANCE (01) | PA |
00284867 | HIGHMARK OPTI-CHOICE (01) | PA |
284867 | BLUE CHIP (01) | PA |
PA0109 | EYEMEDVISIONCARE (01) | PA |