Provider Demographics
NPI:1063696649
Name:MICHAEL S. PAPARO
Entity type:Organization
Organization Name:MICHAEL S. PAPARO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:PAPARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-569-5544
Mailing Address - Street 1:1937A FRUITVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-3995
Mailing Address - Country:US
Mailing Address - Phone:717-569-5544
Mailing Address - Fax:717-569-2243
Practice Address - Street 1:1937A FRUITVILLE PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-3995
Practice Address - Country:US
Practice Address - Phone:717-569-5544
Practice Address - Fax:717-569-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1248390001Medicare NSC