Provider Demographics
NPI:1205051075
Name:BILLIG, JOSEPH
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BILLIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:W HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18202-2112
Mailing Address - Country:US
Mailing Address - Phone:570-450-7695
Mailing Address - Fax:
Practice Address - Street 1:202 CARBON ST
Practice Address - Street 2:
Practice Address - City:WEATHERLY
Practice Address - State:PA
Practice Address - Zip Code:18255-1419
Practice Address - Country:US
Practice Address - Phone:570-427-4887
Practice Address - Fax:570-427-4891
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP033480L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist