Individual
PAUL RICHARD PLUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
433 FRYE FARM RD, CENTRAL MEDICAL ARTS BLDG, GREENSBURG, PA 15601-6480
(724) 539-3750
(724) 539-3751
Mailing address
1000 VALLEYVIEW DR, LATROBE, PA 15650-4721
(724) 537-3706
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000051L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02615
HEAR USA #
PA
01
—
0420476
GP# FOR UMWA FOR REPAIRS
PA
01
—
129034
UMWA PROV.# FOR TESTING
PA
01
—
209368
UPMC GROUP #
PA
01
—
27026
GROUP#FOR HEALTH ASSUR.,
PA
01
—
32262
HEALTH AMERICA,ADVANTRA #
PA
01
—
490552
AETNA PROVIDER #
PA
01
—
GPCE
RAILROAD MEDICARE GP#
PA
01
—
PL215605
BLUE SHIELD PROVIDER #
PA
Enumeration date
05/20/2006
Last updated
07/09/2007
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