National Provider Identifier Database

ADVANCED NEUROLOGY ASSOCIATES PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

ADVANCED NEUROLOGY ASSOCIATES, PC
822 PINE ST
SUITE 3C
PHILADELPHIA, PA19107-6187
Phone: 215-574-3573
Fax: 215-574-3645
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for ADVANCED NEUROLOGY ASSOCIATES, PC

NPI Number 1659542025
Legal business name
LBN
ADVANCED NEUROLOGY ASSOCIATES, PC
Authorized official HENRY SHEPHARD - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 03/13/2008
Last updated 01/22/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 9015156 AETNA PPO
  • PA Other: 1821920 AETNA HMO
  • PA Other: 2030376 HIGHMARK
  • PA Other: 3504822000 PC/KHPE/IBC

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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