1356502892 NPI number — NEAR PERFECT INC

Table of content: (NPI 1356502892)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356502892 NPI number — NEAR PERFECT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEAR PERFECT 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:
COMMUNITY CHIROPRACTIC CARE
Provider Other Organization Name Type Code:
3
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:
1356502892
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2200 N SUSQUEHANNA TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17404-1652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-266-9300
Provider Business Mailing Address Fax Number:
717-650-6419

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 N SUSQUEHANNA TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17404-1652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-266-9300
Provider Business Practice Location Address Fax Number:
717-650-6419
Provider Enumeration Date:
06/18/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SOMMER
Authorized Official First Name:
GREGORY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
717-266-9300

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC006634L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2718158 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 02189402 . This is a "CAPITAL BLUE CROSS (PROVIDER)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1639343 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 329970 . This is a "HEALTH AMERICA / HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5978317-001 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 898944 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 03081100 . This is a "CAPITAL BLUE CROSS (FACILITY)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1528164225 . This is a "PERSONAL NPI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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