Healthcare Provider Details

I. General information

NPI: 1275696007
Provider Name (Legal Business Name): FRANK G SZCZECHOWICZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 11/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3135 NEW GERMANY RD SUITE #38
EBENSBURG PA
15931-4347
US

IV. Provider business mailing address

3135 NEW GERMANY RD SUITE #38
EBENSBURG PA
15931-4347
US

V. Phone/Fax

Practice location:
  • Phone: 814-472-8900
  • Fax: 814-472-9466
Mailing address:
  • Phone: 814-472-8900
  • Fax: 814-472-9466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPP481673
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberPP481673
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPP481673
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPP481673
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License NumberPP481673
License Number StatePA

VIII. Authorized Official

Name: FRANK GEORGE SZCZECHOWICZ
Title or Position: OWNER
Credential: R.PH.
Phone: 814-472-8900