1215290879 NPI number — MISS KATLYN MARIE SHOEMAKER

Table of content: MISS KATLYN MARIE SHOEMAKER (NPI 1215290879)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215290879 NPI number — MISS KATLYN MARIE SHOEMAKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHOEMAKER
Provider First Name:
KATLYN
Provider Middle Name:
MARIE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
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:
1215290879
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1665 HEMLOCK CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOWNINGTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19335
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-235-7808
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 WEST MINOR STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST CHESTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-696-3120
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2012

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: 224Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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