Organization Name: | THREE RIVERS TRAVEL MEDICINE |
NPI Number: | 1992017537 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH ELIZABETH KOHL (OWNER/PRESIDENT) |
Mailing Address: | 1370 Washington Pike Suite 107 Bridgeville |
State: | PA US |
Postal Code: | 150172862 |
Phone Number: | 4125284111 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2010 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD 061194L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |