Provider Demographics
NPI:1427026459
Name:MACFARLAND, GERALD ALLEN (ATC)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:ALLEN
Last Name:MACFARLAND
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 SPRING RUN ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-9039
Mailing Address - Country:US
Mailing Address - Phone:724-457-1225
Mailing Address - Fax:
Practice Address - Street 1:1225 SPRING RUN ROAD EXT
Practice Address - Street 2:
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-9039
Practice Address - Country:US
Practice Address - Phone:724-457-1225
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000268A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer