Healthcare Provider Details

I. General information

NPI: 1780055616
Provider Name (Legal Business Name): FRANK SCARVEL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 WALNUT ST
MCKEESPORT PA
15132-2806
US

IV. Provider business mailing address

625 WALNUT ST
MCKEESPORT PA
15132-2806
US

V. Phone/Fax

Practice location:
  • Phone: 412-673-5005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberTE010748
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: