Healthcare Provider Details

I. General information

NPI: 1215406491
Provider Name (Legal Business Name): CATHERN ZWEIFEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2018
Last Update Date: 12/08/2020
Certification Date: 12/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 E STATE ST
SHARON PA
16146-3328
US

IV. Provider business mailing address

740 E STATE ST
SHARON PA
16146-3328
US

V. Phone/Fax

Practice location:
  • Phone: 248-133-9117
  • Fax: 207-662-6254
Mailing address:
  • Phone: 724-813-3911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1903
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.006795
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA061440
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberPA1903
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: