Provider Demographics
NPI:1346466513
Name:SEMANEK, JOSEPH (BS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:SEMANEK
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:PA
Mailing Address - Zip Code:18644-2028
Mailing Address - Country:US
Mailing Address - Phone:570-655-0810
Mailing Address - Fax:
Practice Address - Street 1:CHOICES RECOVERY PROGRAM
Practice Address - Street 2:REAR 307 LAIRD STREET
Practice Address - City:WILKES-BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-408-9320
Practice Address - Fax:570-408-9324
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder