Doctor Name: | DR. HENRY D DEBIEC |
NPI Number: | 1811992613 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS-006357L |
Business Practice Address: | 5594 State Route 7 Andover, OH - 440039490 |
Business Phone Number: | 4402932444 |
Business Fax Number: | 4402932445 |
Mailing Address: | 100 Shenango Ave, SHARON |
State: | PA |
Postal Code: | 161461503 |
Phone Number: | 7247048886 |
Fax Number: | 7243421942 |
NPI Enumeration Date: | 06/17/2005 |
NPI Last Update Date: | 03/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS-006357L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |