Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225400000X | Rehabilitation Practitioner | SL007867 | PA |
NPI | 1023092202 |
---|---|
Provider Name | Noel Furman |
First Address | Dickson City, PA 18519-1677 |
Second Address | Dickson City, PA 18519-1677 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1011132710002 | (05) | PA |
163621 | MEDPLUS (01) | PA |
3802028 | AETNA HMO (01) | PA |
7136680 | AETNA PPO (01) | PA |
819291 | FIRST PRIORITY/BC/BS (01) | PA |
9384348 | PHCS (01) | PA |
FU1628116 | HIGHMARK (01) | PA |