Provider Demographics
NPI:1013372655
Name:EDUCATION PLUS, INC.
Entity Type:Organization
Organization Name:EDUCATION PLUS, INC.
Other - Org Name:EDUCATION PLUS HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COUSLER EMIG
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:267-324-5707
Mailing Address - Street 1:970 SPROUL RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-2026
Mailing Address - Country:US
Mailing Address - Phone:267-324-5707
Mailing Address - Fax:
Practice Address - Street 1:4030 BROWN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4844
Practice Address - Country:US
Practice Address - Phone:215-863-8207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-28
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029800110001Medicaid
PA1029800110001Medicaid