Healthcare Provider Details

I. General information

NPI: 1386434256
Provider Name (Legal Business Name): STEVEN HUFF OWNER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 ROUTE 426
CORRY PA
16407-5612
US

IV. Provider business mailing address

8440 ROUTE 426
CORRY PA
16407-5612
US

V. Phone/Fax

Practice location:
  • Phone: 814-969-9138
  • Fax: 814-969-9138
Mailing address:
  • Phone: 814-969-9138
  • Fax: 814-969-9138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN756831
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: