Healthcare Provider Details

I. General information

NPI: 1831252972
Provider Name (Legal Business Name): JUNIATA VALLEY FOOT AND ANKLE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 12/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 N BEECH ST
BURNHAM PA
17009-1600
US

IV. Provider business mailing address

215 N BEECH ST
BURNHAM PA
17009-1600
US

V. Phone/Fax

Practice location:
  • Phone: 717-248-0821
  • Fax: 717-248-3162
Mailing address:
  • Phone: 717-248-0821
  • Fax: 717-248-3162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC001927L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CATHLEEN SCHREFFLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 717-248-0821