Paul D. Pepper Jr., F.D.
Individual provider Active NPI Funeral Director · Canton, PA
NPI 1669787263 · NPPES record last updated Aug 9, 2010
Key facts
- NPI
- 1669787263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Funeral Director 176P00000X
- License
- FO013251-L (PA)
- Practice address
- 578 Springbrook Drive
Canton, PA 17724-0173 - Phone
- (570) 673-4333
- Fax
- (570) 673-4330
- NPI assigned
- Aug 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FO013251-L | PA | MD | Funeral Director |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Funeral Director | 176P00000X | FO013251-L | PA | Yes |
Addresses
Primary practice location
578 Springbrook Drive
Canton, PA 17724-0173
Mailing address
PO Box 173
Canton, PA 17724-0173
Phone (570) 673-4333
Other providers in Canton, PA
- Martha Lloyd - Center Street
- Martha Lloyd Community Residential Facility
- Martha Lloyd School, Inc
- Sinclair Mountain
- Jennifer Pepper
- Robert A Place
- Sarah Rava
- Suzanne Rogers
- Nikki Rook
- Haley Seeley
All providers in Canton, PA · Funeral Director in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 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.