Provider Demographics
NPI:1700224151
Name:E.H. MANAGEMENT COMPANY, INC
Entity Type:Organization
Organization Name:E.H. MANAGEMENT COMPANY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LOUISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIPERVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-967-1079
Mailing Address - Street 1:67 BUCK RD
Mailing Address - Street 2:B9
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-1535
Mailing Address - Country:US
Mailing Address - Phone:215-967-1079
Mailing Address - Fax:
Practice Address - Street 1:67 BUCK RD
Practice Address - Street 2:B9
Practice Address - City:HUNTINGDON VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19006-1535
Practice Address - Country:US
Practice Address - Phone:215-967-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-07
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD011807E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3698449000OtherINDEPENDENCE BLUE CROSS
PA0006715890001Medicaid
PA3698449000OtherINDEPENDENCE BLUE CROSS