Provider Demographics
NPI:1659544856
Name:OLIGERI, ARTHUR III (SHOE FITTER)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:OLIGERI
Suffix:III
Gender:M
Credentials:SHOE FITTER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 MILLCREEK PLZ
Mailing Address - Street 2:2070 INTERCHANGE ROAD
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16565-1102
Mailing Address - Country:US
Mailing Address - Phone:814-868-2918
Mailing Address - Fax:814-866-9395
Practice Address - Street 1:220 MILLCREEK PLZ
Practice Address - Street 2:2070 INTERCHANGE ROAD
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16565-1102
Practice Address - Country:US
Practice Address - Phone:814-868-2918
Practice Address - Fax:814-866-9395
Is Sole Proprietor?:No
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4705250001Medicare NSC