Healthcare Provider Details

I. General information

NPI: 1821486978
Provider Name (Legal Business Name): JOEL LOPACINSKI PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 12/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 HOME DR
PITTSBURGH PA
15275-1204
US

IV. Provider business mailing address

470 HOME DR
PITTSBURGH PA
15275-1204
US

V. Phone/Fax

Practice location:
  • Phone: 412-787-7400
  • Fax: 412-787-7407
Mailing address:
  • Phone: 412-787-7400
  • Fax: 412-787-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. JOEL LOPACINSKI
Title or Position: OWNER
Credential: DC
Phone: 412-787-7400