Organization Name: | DR. JAY ERIC CUNNINGHAM |
NPI Number: | 1659557577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAY ERIC CUNNINGHAM (PODIATRIST) |
Mailing Address: | 2616 Memorial Blvd Ste D Connellsville |
State: | PA US |
Postal Code: | 154251418 |
Phone Number: | 7246267620 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2008 |
NPI Last Update Date: | 08/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | SC004557R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |