Individual
HEATHER L SZYMCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2374 VILLAGE COMMON DR STE 100, ERIE, PA 16506-7201
(814) 833-7246
(814) 833-1147
Mailing address
2374 VILLAGE COMMON DR STE 100, ERIE, PA 16506-7201
(814) 833-7246
(814) 833-1147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051276
PA
363AM0700X
Medical Physician Assistant
2413
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261827801
TAX IDENTIFICATION
PA
01
—
340726081
TAX IDENTIFICATION
OH
Enumeration date
04/27/2006
Last updated
11/06/2017
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