Provider Demographics
NPI:1699758144
Name:ASTHMA, LUNG AND SLEEP SPECIALISTS, PC
Entity type:Organization
Organization Name:ASTHMA, LUNG AND SLEEP SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BISNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-432-2234
Mailing Address - Street 1:464 ALLEGHENY BLVD
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-6259
Mailing Address - Country:US
Mailing Address - Phone:814-432-2234
Mailing Address - Fax:814-432-4462
Practice Address - Street 1:464 ALLEGHENY BLVD
Practice Address - Street 2:SUITE 2A
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-6259
Practice Address - Country:US
Practice Address - Phone:814-432-2234
Practice Address - Fax:814-432-4462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA916648OtherGROUP NUMBER
PA916648OtherGROUP NUMBER