Healthcare Provider Details

I. General information

NPI: 1245945138
Provider Name (Legal Business Name): PAUL CHROPEK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CORNELL ST
MCKEESPORT PA
15132-4613
US

IV. Provider business mailing address

314 LINDA LN
HOUSTON PA
15342-1081
US

V. Phone/Fax

Practice location:
  • Phone: 724-678-6919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: