Provider Demographics
NPI:1396883096
Name:US PROFESSIONAL CONSULTANTS LTD PC
Entity type:Organization
Organization Name:US PROFESSIONAL CONSULTANTS LTD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-667-9877
Mailing Address - Street 1:1209 CHERMAR LANE
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1137
Mailing Address - Country:US
Mailing Address - Phone:610-667-9877
Mailing Address - Fax:610-667-9877
Practice Address - Street 1:1209 CHERMAR LN
Practice Address - Street 2:
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1137
Practice Address - Country:US
Practice Address - Phone:610-667-9877
Practice Address - Fax:610-667-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
512081Medicare ID - Type Unspecified