1336471176 NPI number — MISS MAGGIE LEIGH FEKETE RD, LDN

Table of content: MISS MAGGIE LEIGH FEKETE RD, LDN (NPI 1336471176)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336471176 NPI number — MISS MAGGIE LEIGH FEKETE RD, LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEKETE
Provider First Name:
MAGGIE
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
RD, LDN
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:
1336471176
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
288 S RIDGECREST AVE
Provider Second Line Business Mailing Address:
RUTHERFORD HOSPITAL, INC.
Provider Business Mailing Address City Name:
RUTHERFORDTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28139-2838
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-286-5523
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
288 S RIDGECREST AVE
Provider Second Line Business Practice Location Address:
RUTHERFORD HOSPITAL, INC.
Provider Business Practice Location Address City Name:
RUTHERFORDTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28139-2838
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-286-5523
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/04/2010

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: 133V00000X , with the licence number:  L003428 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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