1083908651 NPI number — BATTLE CREEK HEALTH SYSTEM NEUROLOGY

Table of content: CORNELIA TERESA ANN DANIELS LPN (NPI 1700185329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083908651 NPI number — BATTLE CREEK HEALTH SYSTEM NEUROLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BATTLE CREEK HEALTH SYSTEM NEUROLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1083908651
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT CH 14401
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PALATINE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60055-4401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-378-9991
Provider Business Mailing Address Fax Number:
616-949-8540

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 NORTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATTLE CREEK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49017-3307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-378-9991
Provider Business Practice Location Address Fax Number:
616-949-8540
Provider Enumeration Date:
06/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMS
Authorized Official First Name:
DEBRA
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERVISOR
Authorized Official Telephone Number:
800-378-9991

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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