Healthcare Provider Details

I. General information

NPI: 1407760101
Provider Name (Legal Business Name): ONLINEIOP PA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W 7TH ST STE 100
ERIE PA
16502-1333
US

IV. Provider business mailing address

5 PARK PLZ STE 1520
IRVINE CA
92614-2566
US

V. Phone/Fax

Practice location:
  • Phone: 949-933-6412
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JACK BIEHL
Title or Position: CEO
Credential:
Phone: 949-933-6412