Healthcare Provider Details
I. General information
NPI: 1437586328
Provider Name (Legal Business Name): BIRCH INTERNATIONAL MARKETING, FINANCIAL & CREDIT CONSULTANT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2013
Last Update Date: 10/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6581 BELMAR ST
PHILADELPHIA PA
19142-1316
US
IV. Provider business mailing address
6581 BELMAR ST
PHILADELPHIA PA
19142-1316
US
V. Phone/Fax
- Phone: 267-701-7833
- Fax:
- Phone: 267-701-7833
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | PA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | PA |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | PA |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | PA |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: MR.
ELPHINSTONE
JAMES
BIRCH
Title or Position: EXECUTIVE PROGRAM DIRECTOR
Credential: BSC
Phone: 267-701-7833