DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BLAIR NEUROLOGIC ASSOCIATES

MEDICARE: BLAIR NEUROLOGIC ASSOCIATES
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
12084N0400XNeurology PhysicianMD038175EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952319063
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLAIR NEUROLOGIC ASSOCIATES
Provider Business Mailing Address
First Line : 914 S 12TH ST
Second Line :
City : ALTOONA
State : PA
Zip : 16602-6247
Country : US
Telephone Number : 814-201-2309
Fax Number : 814-301-2389
Provider Business Practice Location Address
First Line : 914 S 12TH ST
Second Line :
City : ALTOONA
State : PA
Zip : 16602-6247
Country : US
Telephone Number : 814-201-2309
Fax Number : 814-301-2389
Authorized Official
Title or Position : PRESIDENT
Name : DR. LAURENCE ALAN PRIMACK
Credential : MD
Telephone Number : 814-201-2309
Provider Enumeration Date : 08/04/2006
Last Update Date : 09/26/2019

Similar Medicare Providers

1053279661 — CENTRAL PA PRIMARY CARELLC
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax: 814-201-2389
1366967416 — MICHELLE DUNIO CRNP
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax: 814-201-2389
1003302068 — DR. JACOB CARMICHAEL DPM
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax: 814-201-2389
1841887494 — CENTRAL PA PODIATRY LLC
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax: 814-201-2389
1891445557 — KIRTAN CHOKSHI DPM
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax: 814-201-2389
1689311771 — MRS. JOANNA L BLATTENBERGER APRN
Practice Location Address:
914 S 12TH ST
ALTOONA, PA
16602-6247
Practice Phone: 814-201-2309
Practice Fax:

Directions to “BLAIR NEUROLOGIC ASSOCIATES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.