1265416150 NPI number — DR. CAROL ANNE ARTHARS D.C.

Table of content: DR. CAROL ANNE ARTHARS D.C. (NPI 1265416150)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265416150 NPI number — DR. CAROL ANNE ARTHARS D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARTHARS
Provider First Name:
CAROL
Provider Middle Name:
ANNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1265416150
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:
400 N CHURCH ST
Provider Second Line Business Mailing Address:
SUITE 115
Provider Business Mailing Address City Name:
MOORESTOWN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08057-1700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-235-1828
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 N CHURCH ST
Provider Second Line Business Practice Location Address:
SUITE 115
Provider Business Practice Location Address City Name:
MOORESTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08057-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-235-1828
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2005

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:  38MC00348800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 662281 . This is a "UNITED HEALTHCARE #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2107483000 . This is a "AMERIHLTH/IBC HMO #" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3315401 . This is a "OXFORD HEALTH PLAN #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7352574 . This is a "AETNA PROVIDER #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0014221546 . This is a "IBC PPO #" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3939540 . This is a "CIGNA PPO #" identifier . This identifiers is of the category "OTHER".