1336464106 NPI number — ALLIES IN HAND THERAPY, LLC

Table of content: (NPI 1336464106)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336464106 NPI number — ALLIES IN HAND THERAPY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLIES IN HAND THERAPY, LLC
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:
1336464106
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1211 HAMBURG TPKE STE 306
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAYNE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07470-5056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-706-8270
Provider Business Mailing Address Fax Number:
973-706-8272

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1211 HAMBURG TPKE STE 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYNE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07470-5056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-706-8270
Provider Business Practice Location Address Fax Number:
973-706-8272
Provider Enumeration Date:
04/05/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SHAH
Authorized Official First Name:
PRITI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/DIRECTOR
Authorized Official Telephone Number:
973-706-8270

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  46TR00408000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225XH1200X , with the licence number: 46TR00408000 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 749364 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6963930 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".