1326220187 NPI number — AMC PC INC

Table of content: DR. NOAH CURTIS SWANSON D.C. (NPI 1003231176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326220187 NPI number — AMC PC INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMC PC INC
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:
1326220187
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
511 N 12TH ST E
Provider Second Line Business Mailing Address:
#F
Provider Business Mailing Address City Name:
RIVERTON
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82501-3809
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-857-6422
Provider Business Mailing Address Fax Number:
307-857-5788

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
511 N 12TH ST E
Provider Second Line Business Practice Location Address:
#F
Provider Business Practice Location Address City Name:
RIVERTON
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82501-3809
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-857-6422
Provider Business Practice Location Address Fax Number:
307-857-5788
Provider Enumeration Date:
12/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CAPRICCHIONE
Authorized Official First Name:
ANGELO
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
307-857-6422

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DD0939 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".




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