MEDICARE: DR. BRIGITTE LEIGH SAPKO DPM

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	213E00000X	Podiatrist	SC004525R	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	110619	OTHER	PA	UNISON
3	1349146	OTHER	PA	BCBS OF WPA

General Provider Information

NPI Number	:	1134154743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIGITTE LEIGH SAPKO DPM

Provider Business Mailing Address
First Line	:	PO BOX 43
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301
Country	:	US
Telephone Number	:	724-222-2160
Fax Number	:	724-222-1462

Provider Business Practice Location Address
First Line	:	1874 WEST CHESTNUT STREET
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301
Country	:	US
Telephone Number	:	724-222-2160
Fax Number	:	724-222-1462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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