Individual
JEFFREY MICHAEL NATALIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSSA
Contact information
Practice address
4544 W RIDGE RD, SUITE ONE, ERIE, PA 16506-1436
(814) 835-3430
Mailing address
4544 W RIDGE RD, SUITE ONE, ERIE, PA 16506-1436
(814) 835-3430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW011692L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388179
HIGHMARK BC/BS PROVIDER #
PA
Enumeration date
04/26/2006
Last updated
07/08/2007
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