Basic Information
Provider Information
NPI: 1902000417
EntityType: 2
ReplacementNPI:  
OrganizationName: STAFFING PLUS, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 27 WINDSOR LN
Address2:  
City: CLIFTON HEIGHTS
State: PA
PostalCode: 190182320
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 551 W LANCASTER AVE
Address2:  
City: HAVERFORD
State: PA
PostalCode: 190411419
CountryCode: US
TelephoneNumber: 6105254000
FaxNumber: 6105266742
Other Information
ProviderEnumerationDate: 06/11/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BOWMAN
AuthorizedOfficialFirstName: BRITTANY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: COTA
AuthorizedOfficialTelephone: 2673742681
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
305R00000X224Z00000XPAY Managed Care OrganizationsPreferred Provider Organization 

No ID Information.


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