Provider Demographics
NPI:1235382565
Name:EAST BRANDYWINE FIRE COMPANY
Entity Type:Organization
Organization Name:EAST BRANDYWINE FIRE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERSOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-644-7070
Mailing Address - Street 1:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301-0255
Mailing Address - Country:US
Mailing Address - Phone:610-644-7070
Mailing Address - Fax:610-644-3951
Practice Address - Street 1:2096 BONDSVILLE RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1121
Practice Address - Country:US
Practice Address - Phone:610-269-2625
Practice Address - Fax:610-518-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15349333300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies