1447406616 NPI number — VIRGIN ISLANDS ONCOLOGY & HEMATOLOGY, PC

Table of content: (NPI 1447406616)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447406616 NPI number — VIRGIN ISLANDS ONCOLOGY & HEMATOLOGY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIRGIN ISLANDS ONCOLOGY & HEMATOLOGY, PC
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:
1447406616
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7486
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ST THOMAS
Provider Business Mailing Address State Name:
VIRGIN ISLANDS
Provider Business Mailing Address Postal Code:
00801 7486
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
340-776-1551
Provider Business Mailing Address Fax Number:
340-776-1552

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9150 ESTATE THOMAS
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
ST THOMAS
Provider Business Practice Location Address State Name:
VI
Provider Business Practice Location Address Postal Code:
00802-2612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
340-776-1551
Provider Business Practice Location Address Fax Number:
340-776-1552
Provider Enumeration Date:
08/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HOBDY
Authorized Official First Name:
EROLE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
340-776-1551

Provider Taxonomy Codes

  • Taxonomy code: 261QX0200X , with the licence number:  1331 , registered in the state of VI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1851340723 . This is a "MEDICARE INDIVIDUAL NPI" identifier , issued by the state of ( VI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com