Provider Demographics
NPI:1134141302
Name:SENECA PRIMARY CARE INC
Entity Type:Organization
Organization Name:SENECA PRIMARY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAVITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONEJA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-677-7338
Mailing Address - Street 1:3529 STATE ROUTE 257
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2931
Mailing Address - Country:US
Mailing Address - Phone:814-667-7338
Mailing Address - Fax:814-667-3788
Practice Address - Street 1:3529 STATE ROUTE 257
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2931
Practice Address - Country:US
Practice Address - Phone:814-667-7338
Practice Address - Fax:814-667-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050805L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018143630001Medicaid
PA0018143630001Medicaid