MEDICARE: THERESA GEISLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	6000006113	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	PIN90ZA	OTHER	UPMC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	318869	OTHER	UPMC

General Provider Information

NPI Number	:	1013978071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERESA GEISLER

Provider Business Mailing Address
First Line	:	739 ALLEGHENY RIVER BLVD
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-1301
Country	:	US
Telephone Number	:	412-828-3255
Fax Number	:	412-828-3655

Provider Business Practice Location Address
First Line	:	739 ALLEGHENY RIVER BLVD
Second Line	:
City	:	VERONA
State	:	PA
Zip	:	15147-1301
Country	:	US
Telephone Number	:	412-828-3255
Fax Number	:	412-828-3655

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. THERESA JANE GEISLER
Credential	:
Telephone Number	:	412-828-3255

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	06/17/2008

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Directions to “THERESA GEISLER ” Practice Location

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