Provider Demographics
NPI:1407254691
Name:ALLERGY, ASTHMA, AND SINUS WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:ALLERGY, ASTHMA, AND SINUS WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE-ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-581-8813
Mailing Address - Street 1:562 SHEARER ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2746
Mailing Address - Country:US
Mailing Address - Phone:724-837-4070
Mailing Address - Fax:724-837-3316
Practice Address - Street 1:562 SHEARER ST STE 101
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-837-4070
Practice Address - Fax:724-837-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-20
Last Update Date:2014-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066918L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty