Provider Demographics
NPI:1821275777
Name:DONALD A NEBEL O D
Entity Type:Organization
Organization Name:DONALD A NEBEL O D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:NEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-283-2500
Mailing Address - Street 1:261 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-1333
Mailing Address - Country:US
Mailing Address - Phone:724-283-2500
Mailing Address - Fax:724-283-1602
Practice Address - Street 1:261 SUNSET DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1333
Practice Address - Country:US
Practice Address - Phone:724-283-2500
Practice Address - Fax:724-283-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001088332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1740251461OtherINDIVIDUAL NPI #
PA729433Medicare PIN
PA132827Medicare PIN
0319060001Medicare NSC