Healthcare Provider Details

I. General information

NPI: 1740153931
Provider Name (Legal Business Name): JOHN WOJTUNIK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 BETHEL RD
NORTH HUNTINGDON PA
15642-1868
US

IV. Provider business mailing address

339 BETHEL RD
NORTH HUNTINGDON PA
15642-1868
US

V. Phone/Fax

Practice location:
  • Phone: 412-654-5388
  • Fax:
Mailing address:
  • Phone: 412-654-5388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number97928
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN707346
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: