Provider Demographics
NPI:1639166580
Name:JOHN F LERNIHAN
Entity Type:Organization
Organization Name:JOHN F LERNIHAN
Other - Org Name:SUNSHINE PRN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LERNIHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-432-6864
Mailing Address - Street 1:420 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2146
Mailing Address - Country:US
Mailing Address - Phone:607-432-6864
Mailing Address - Fax:607-432-6866
Practice Address - Street 1:420 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2146
Practice Address - Country:US
Practice Address - Phone:607-432-6864
Practice Address - Fax:607-432-6866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Z00000X, 225000000X, 335E00000X
NY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotistGroup - Single Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0159480001Medicare ID - Type Unspecified