Provider Demographics
NPI:1073514246
Name:MEANS, PAUL E JR (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:E
Last Name:MEANS
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:109 CROSSROADS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-2458
Mailing Address - Country:US
Mailing Address - Phone:724-887-5989
Mailing Address - Fax:724-887-0129
Practice Address - Street 1:109 CROSSROADS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-2458
Practice Address - Country:US
Practice Address - Phone:724-887-5989
Practice Address - Fax:724-887-0129
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2022-04-21
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Provider Licenses
StateLicense IDTaxonomies
PAOS009820L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018717080004Medicaid
PAG68314Medicare UPIN
PA008746PZOMedicare ID - Type Unspecified