Marianne Family Practice | |
21159 Paint Blvd Suite 2 Shippenville PA 16254-4023 | |
(814) 226-6770 | |
(814) 226-1015 |
Full Name | Marianne Family Practice |
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Speciality | Family Medicine |
Location | 21159 Paint Blvd, Shippenville, Pennsylvania |
Authorized Official Name and Position | Connie Beichner (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8142263470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marianne Family Practice 121 Doctors Lane Clarion PA 16214 Ph: (814) 226-3470 | Marianne Family Practice 21159 Paint Blvd Suite 2 Shippenville PA 16254-4023 Ph: (814) 226-6770 |
NPI Number | 1033178793 |
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Provider Enumeration Date | 03/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033178793 | NPI | - | NPPES |
1004721 | Other | PA | GATEWAY |
1549224 | Other | PA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |