Provider Demographics
NPI:1265638928
Name:BETTY CLINE TOPERZER, MD, PC
Entity Type:Organization
Organization Name:BETTY CLINE TOPERZER, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:CLINE
Authorized Official - Last Name:TOPERZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-453-5706
Mailing Address - Street 1:104 E 2ND ST
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1532
Mailing Address - Country:US
Mailing Address - Phone:814-453-5706
Mailing Address - Fax:814-455-9420
Practice Address - Street 1:104 E 2ND ST
Practice Address - Street 2:8TH FLOOR
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1532
Practice Address - Country:US
Practice Address - Phone:814-453-5706
Practice Address - Fax:814-455-9420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007435640001Medicaid
PA052023Medicare PIN