MEDICARE: MARGARET L PRATHER D.O. INC

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	2084P0800X	Psychiatry Physician	OS007354E	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	:	1548353444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGARET L PRATHER D.O. INC

Provider Business Mailing Address
First Line	:	805 JEFFERSON AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2413
Country	:	US
Telephone Number	:	724-224-9333
Fax Number	:	724-224-5155

Provider Business Practice Location Address
First Line	:	805 JEFFERSON AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2413
Country	:	US
Telephone Number	:	724-224-9333
Fax Number	:	724-224-5155

Authorized Official
Title or Position	:	OWNER/PSYCHIATRIST
Name	:	DR. MARGARET L PRATHER
Credential	:	D.O.
Telephone Number	:	724-224-9333

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	08/22/2020

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