Provider Demographics
NPI:1043330509
Name:WILLIAM OFRICHTER DPM, PC
Entity Type:Organization
Organization Name:WILLIAM OFRICHTER DPM, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:OFRICHTER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-261-1001
Mailing Address - Street 1:2030 CENTER ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18067-1321
Mailing Address - Country:US
Mailing Address - Phone:610-261-1001
Mailing Address - Fax:610-261-2589
Practice Address - Street 1:2030 CENTER ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18067-1321
Practice Address - Country:US
Practice Address - Phone:610-261-1001
Practice Address - Fax:610-261-2589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002349L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0697110001Medicare NSC