1285624494 NPI number — PAUL M LEPLEY JR. DPM

Table of content: PAUL M LEPLEY JR. DPM (NPI 1285624494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285624494 NPI number — PAUL M LEPLEY JR. DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEPLEY
Provider First Name:
PAUL
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
DPM
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:
1285624494
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
440 E CENTRAL ST STE 6
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02038-1374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-528-6232
Provider Business Mailing Address Fax Number:
508-528-0773

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
440 E CENTRAL ST STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02038-1374
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-528-6232
Provider Business Practice Location Address Fax Number:
508-528-0773
Provider Enumeration Date:
10/27/2005

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: 213E00000X , with the licence number:  1678 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0004857 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 710124 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0350133 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: S009314 . This is a "CHAMPUS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 33043 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: LEY70744 . This is a "BLUE SHIELD OF MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 2704466 . This is a "UNITED HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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