MR. EARNEST CLAYTON CHURCH


Address: 1409 Hampden Blvd, Reading, PA 19604-1827
Phone: 6103754532

MR. EARNEST CLAYTON CHURCH (NPI# 1831736222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831736222
Entity Type Individual
Full Name MR. EARNEST CLAYTON CHURCH
Credential RN, CDE
Practice Address 1409 Hampden Blvd
Reading
PA 19604-1827
Practice Telephone 6103754532
Mailing Telephone 6103754532
Enumeration Date 2019-12-04
Last Update Date 2019-12-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WD0400X Registered Nurse
Specialization: Diabetes Educator
RN348935L PA Nursing Service Providers

Office Location

Street Address 1409 HAMPDEN BLVD
City READING
State PA
Zip Code 19604-1827

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1780749101 Juan E Kraljevic Internal Medicine 403 N 13th St, Reading, PA 19604 2006-12-26
1114093952 Gary Paul Mihal Chiropractor 2630 Hampden Blvd, Reading, PA 19604 2006-11-24
1437269156 Veronica Jo Labate Dentist 1518 North 13th Street, Reading, PA 19604 2006-08-30
1912934233 Carol Beitinger Nurse Anesthetist, Certified Registered 12th Walnut Streets, Reading, PA 19604 2006-06-26
1356384994 Deborah Smart Nurse Anesthetist, Certified Registered 12th & Walnut Street, Reading, PA 19604 2006-06-13
1124590179 Mfon-abasi Connell-gentle Dental Hygienist 1110 Rockland Street, Reading, PA 19604 2018-12-31
1316144348 Leonor Maribel Guerra Counselor 125 South 5th St, Reading, PA 19604 2007-07-02
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Taxonomy Information

Taxonomy Code 163WD0400X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Diabetes Educator

Taxonomy Definition

Definition to come...

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1265963201 Sandra Pileggi Registered Nurse 668 Old Stage Rd, Albrightsville, PA 18210-3302 2017-03-22
1922340587 Julia Lynn Life Registered Nurse 113 Windrush Ln, Mechanicsburg, PA 17055-9236 2013-03-21
1619135423 Joan Loudy Registered Nurse 300 S 6th Ave, West Reading, PA 19611-1426 2008-05-29
1932381555 Charlotte B. Schug Registered Nurse 7050 Camp Hill Rd, Fort Washington, PA 19034-2210 2007-12-05
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1306877782 Ppg Script Inc Registered Nurse 111 Mill St, Grove City, PA 16127-1514 2006-07-05
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Competitor

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City READING
Zip Code 19604

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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