Provider Demographics
NPI:1326814617
Name:LIGIER, JOSEPH DOUGLAS (PA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DOUGLAS
Last Name:LIGIER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:J.D.
Other - Middle Name:
Other - Last Name:LIGIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:2506 FIFE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2522
Mailing Address - Country:US
Mailing Address - Phone:530-510-1694
Mailing Address - Fax:
Practice Address - Street 1:2506 FIFE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2522
Practice Address - Country:US
Practice Address - Phone:530-510-1694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-28
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PA363A00000X207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty