Provider Demographics
NPI:1699844126
Name:JOHN S ZECHMAN DPM
Entity Type:Organization
Organization Name:JOHN S ZECHMAN DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ZECHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-373-8287
Mailing Address - Street 1:731 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-3535
Mailing Address - Country:US
Mailing Address - Phone:610-373-8287
Mailing Address - Fax:610-373-8740
Practice Address - Street 1:731 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601-3535
Practice Address - Country:US
Practice Address - Phone:610-373-8287
Practice Address - Fax:610-373-8740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC001704L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1740229962OtherNPI FOR PROFESSIONAL SERV
PA085749Medicare PIN
PA4548950001Medicare NSC
PA085749Medicare ID - Type Unspecified
PAT28346Medicare UPIN