Provider Demographics
NPI:1326254079
Name:NON SURGICAL ASSOCIATES OF LANCASTER
Entity Type:Organization
Organization Name:NON SURGICAL ASSOCIATES OF LANCASTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:THEODORE
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:DC RCRD FABCS FRCCM
Authorized Official - Phone:717-355-2940
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:EAST EARL
Mailing Address - State:PA
Mailing Address - Zip Code:17519-0204
Mailing Address - Country:US
Mailing Address - Phone:717-355-2940
Mailing Address - Fax:717-355-2940
Practice Address - Street 1:1617 SPRINGVILLE ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9558
Practice Address - Country:US
Practice Address - Phone:717-355-2940
Practice Address - Fax:717-355-2940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0845878000OtherINDEPENDENCE BLUE CROSS