National Provider Identifier Database

TRI STATE ALLERGY AND ASTHMA LLC
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

TRI STATE ALLERGY AND ASTHMA, LLC
3546 W 12TH ST
ERIE, PA16505-3654
Phone: 814-879-0979
Fax: 814-452-4360
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for TRI STATE ALLERGY AND ASTHMA, LLC

NPI Number 1801262001
Legal business name
LBN
TRI STATE ALLERGY AND ASTHMA, LLC
Authorized official SARTAJ AHMED - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 08/11/2015
Last updated 08/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: MD434791

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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