Organization
EVA OFCHARSKY
Active
Other names
That Special Woman
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA OFCHARSKY (OWNER)
(570) 288-6688
Entity
Organization
Contact information
Practice address
108 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4403
(570) 288-6688
Mailing address
108 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4403
(570) 288-6688
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017997680001
—
PA
01
—
243975
HIGHMARK BLUE SHIELD
PA
01
—
814243
FIRST PRIORITY
PA
Enumeration date
12/13/2007
Last updated
01/02/2024
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