Provider Demographics
NPI:1538150818
Name:S. ERBRICK ENTERPRISES INC.
Entity type:Organization
Organization Name:S. ERBRICK ENTERPRISES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ERBRICK
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:610-737-9696
Mailing Address - Street 1:PO BOX 3403
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-0403
Mailing Address - Country:US
Mailing Address - Phone:610-966-9929
Mailing Address - Fax:610-966-0541
Practice Address - Street 1:8876 LONGSWAMP RD
Practice Address - Street 2:
Practice Address - City:ALBURTIS
Practice Address - State:PA
Practice Address - Zip Code:18011-9338
Practice Address - Country:US
Practice Address - Phone:610-966-9929
Practice Address - Fax:610-966-0541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA041743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39EA38OtherCAPITAL BLUE CROSS
PA1011566800001Medicaid
PA39EA38OtherCAPITAL BLUE CROSS