Joseph E Nakoneczny III
Individual provider Active NPI Case Manager/Care Coordinator · Carmichaels, PA
NPI 1487963310 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1487963310
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 601 W George St
Carmichaels, PA 15320-1325 - Phone
- (724) 966-5081
- Fax
- (724) 966-2414
- NPI assigned
- Sep 27, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
601 W George St
Carmichaels, PA 15320-1325
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007288440093 | Medicaid | PA | |
| 328834A764918 | Other | PA | VALUE BEHAVIORAL HEALTH |
Other providers in Carmichaels, PA
- Ronald John Lutz Jr.
- Elizabeth Mason
- Michael T Matras
- Michael D. Monaco
- Jessica Marie Nakoneczny
- Frank Edward Panepinto
- Andrew Porter
- Pratt Personal Care Home
- Pratt'S Personal Care Home
- Amber Renee Raber
All providers in Carmichaels, PA · Case Manager/Care Coordinator in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.