1235230301 NPI number — DR. THOMAS LEO KEMPER D.C.

Table of content: DR. THOMAS LEO KEMPER D.C. (NPI 1235230301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235230301 NPI number — DR. THOMAS LEO KEMPER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEMPER
Provider First Name:
THOMAS
Provider Middle Name:
LEO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

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:
1235230301
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:
1450 25TH ST S
Provider Second Line Business Mailing Address:
STE: 157
Provider Business Mailing Address City Name:
FARGO
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58103-8105
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-241-9355
Provider Business Mailing Address Fax Number:
701-451-9137

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 25TH ST S
Provider Second Line Business Practice Location Address:
STE: 157
Provider Business Practice Location Address City Name:
FARGO
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58103-8105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-241-9355
Provider Business Practice Location Address Fax Number:
701-451-9137
Provider Enumeration Date:
09/25/2006

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: 111N00000X , with the licence number:  653 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10754 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com