1043643026 NPI number — MRS. EMMA BRUMMET DIRRIM M.S.

Table of content: MRS. EMMA BRUMMET DIRRIM M.S. (NPI 1043643026)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043643026 NPI number — MRS. EMMA BRUMMET DIRRIM M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIRRIM
Provider First Name:
EMMA
Provider Middle Name:
BRUMMET
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANG
Provider Other First Name:
EMMA
Provider Other Middle Name:
BRUMMET
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1043643026
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10911 N 117TH EAST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OWASSO
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
74055-7396
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
918-638-9516
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10911 N 117TH EAST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWASSO
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74055-7396
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
918-638-9516
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2013

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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