1417933623 NPI number — MR. DUNELEY AURELIUS ROCHINO MPT

Table of content: MR. DUNELEY AURELIUS ROCHINO MPT (NPI 1417933623)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417933623 NPI number — MR. DUNELEY AURELIUS ROCHINO MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROCHINO
Provider First Name:
DUNELEY
Provider Middle Name:
AURELIUS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MPT
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:
1417933623
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 827 BOX 294
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FPO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
390818116183
Provider Business Mailing Address Fax Number:
390818116345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
USNH NAPLES ITALY
Provider Second Line Business Practice Location Address:
PSC 827 BOX 294
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
390818116183
Provider Business Practice Location Address Fax Number:
390818116345
Provider Enumeration Date:
12/20/2005

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: 225100000X , with the licence number:  PT23307 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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