MEDICARE: MAUREEN M RATCHFORD 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	SC005820	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

General Provider Information

NPI Number	:	1215920624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN M RATCHFORD DPM

Provider Business Mailing Address
First Line	:	3133 NEW GERMANY RD
Second Line	:	SUITE 62
City	:	EBENSBURG
State	:	PA
Zip	:	15931-4348
Country	:	US
Telephone Number	:	814-472-2660
Fax Number	:	814-472-2666

Provider Business Practice Location Address
First Line	:	3133 NEW GERMANY RD
Second Line	:	SUITE 62
City	:	EBENSBURG
State	:	PA
Zip	:	15931-4348
Country	:	US
Telephone Number	:	814-472-2660
Fax Number	:	814-472-2666

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

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/16/2022

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