Organization
PROFESSIONAL PROVIDERS INC
Active
Parent organization
PROFESSIONAL PROVIDERS INC
Other names
CHESTER COUNTY MEDIC 91
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL PROVIDERS INC
Authorized official
DANIEL C ROTH (BILLING)
(717) 464-0724
Entity
Organization
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5558
Mailing address
PO BOX 329, WILLOW STREET, PA 17584-0329
(717) 464-0724
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018759770007
—
PA
Enumeration date
10/27/2005
Last updated
11/23/2011
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