Healthcare Provider Details

I. General information

NPI: 1609891167
Provider Name (Legal Business Name): STRAKA & MCQUONE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 OHIO RIVER BLVD
SEWICKLEY PA
15143-2056
US

IV. Provider business mailing address

1099 OHIO RIVER BLVD
SEWICKLEY PA
15143-2056
US

V. Phone/Fax

Practice location:
  • Phone: 412-741-5670
  • Fax: 412-741-8520
Mailing address:
  • Phone: 412-741-5670
  • Fax: 412-741-8520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN ANTHONY STRAKA
Title or Position: OWNER
Credential: MD
Phone: 412-741-5670