1043398985 NPI number — MRS. STACY HAYES KANE MSW

Table of content: MRS. STACY HAYES KANE MSW (NPI 1043398985)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043398985 NPI number — MRS. STACY HAYES KANE MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAYES KANE
Provider First Name:
STACY
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043398985
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1800 3RD AVENUE
Provider Second Line Business Mailing Address:
SUITE 512
Provider Business Mailing Address City Name:
ROCK ISLAND
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61201-8000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
309-786-4491
Provider Business Mailing Address Fax Number:
309-786-0205

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 3RD AVENUE
Provider Second Line Business Practice Location Address:
SUITE 512
Provider Business Practice Location Address City Name:
ROCK ISLAND
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61201-8000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
309-786-4491
Provider Business Practice Location Address Fax Number:
309-786-0205
Provider Enumeration Date:
11/01/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)