Provider Demographics
NPI:1215302575
Name:SPEHAR, JOESPH (CSA)
Entity type:Individual
Prefix:
First Name:JOESPH
Middle Name:
Last Name:SPEHAR
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1781 ARONA RD
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3249
Mailing Address - Country:US
Mailing Address - Phone:724-305-6530
Mailing Address - Fax:
Practice Address - Street 1:1781 ARONA RD
Practice Address - Street 2:SUITE 3B
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-3249
Practice Address - Country:US
Practice Address - Phone:724-305-6530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
PA278136013747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion