Organization
NEB DOCTORS OF WESTERN PENNSYLVANIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY PAULSON (OWNER)
(513) 200-2105
Entity
Organization
Contact information
Practice address
850 BOYCE RD STE 5, BRIDGEVILLE, PA 15017-1541
(412) 653-3750
Mailing address
850 BOYCE RD STE 5, BRIDGEVILLE, PA 15017-1541
(412) 653-3750
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
6000006759
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014822660001
—
PA
Enumeration date
02/20/2006
Last updated
11/15/2023
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