Provider Demographics
NPI:1609849942
Name:L. DOERFLER AUDIOLOGY ASSOC. P.C.
Entity Type:Organization
Organization Name:L. DOERFLER AUDIOLOGY ASSOC. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PLUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-A,
Authorized Official - Phone:724-539-3750
Mailing Address - Street 1:433 FRYE FARM RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6480
Mailing Address - Country:US
Mailing Address - Phone:724-539-3750
Mailing Address - Fax:724-539-3751
Practice Address - Street 1:433 FRYE FARM RD
Practice Address - Street 2:SUITE 5
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6480
Practice Address - Country:US
Practice Address - Phone:724-539-3750
Practice Address - Fax:724-539-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAD00549237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0420476OtherUMWA HEARING AID&REP.#
PA209368OtherUPMC GROUP PROVIDER #
PA0001326882OtherBLUE SHIELD GROUP NUMBER
PA27026OtherHEALTH ASSURANCE/ADVANTRA
PA129034OtherUMWA TESTING GROUP #
PAGPCE8653OtherRAILROAD MEDICARE GROUP#