Provider Demographics
NPI:1578560173
Name:BIRCHMEIER, HOWARD SCOTT (PT)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:SCOTT
Last Name:BIRCHMEIER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1826
Mailing Address - Country:US
Mailing Address - Phone:856-489-4145
Mailing Address - Fax:856-782-3553
Practice Address - Street 1:1018 LAUREL OAK RD
Practice Address - Street 2:SUITE 11
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3510
Practice Address - Country:US
Practice Address - Phone:856-782-9800
Practice Address - Fax:856-782-3553
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-29
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00684900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH820553728OtherTAX ID FOR HORIZON
NH820553728OtherTAX ID FOR HORIZON
NJ068680Medicare ID - Type UnspecifiedFACILITY NUMBER