Individual
MR. MICHAEL EININK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
512 E COLUMBUS AVE, CORRY, PA 16407-9014
(814) 664-9346
(814) 663-0169
Mailing address
512 E COLUMBUS AVE, CORRY, PA 16407-9014
(814) 664-9346
(814) 663-0169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT008043L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033841390001
—
PA
Enumeration date
03/15/2017
Last updated
03/29/2021
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