Individual
MR. JONATHAN EDMUND SAPE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W GEORGE ST, CARMICHAELS, PA 15320-1325
(724) 966-5081
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007288440012
—
PA
05
—
328834A764918
—
PA
Enumeration date
12/01/2005
Last updated
07/09/2007
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