1548392137 NPI number — RALPH B. RABIN DPM LLC

Table of content: (NPI 1548392137)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548392137 NPI number — RALPH B. RABIN DPM LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RALPH B. RABIN DPM 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:
1548392137
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13055 W MCDOWELL RD STE G108
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AVONDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85392-6450
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
623-846-9000
Provider Business Mailing Address Fax Number:
623-846-4021

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13055 W MCDOWELL RD
Provider Second Line Business Practice Location Address:
SUITE G108
Provider Business Practice Location Address City Name:
AVONDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85392-6450
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
623-846-9000
Provider Business Practice Location Address Fax Number:
623-846-4021
Provider Enumeration Date:
03/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RABIN
Authorized Official First Name:
SANDY
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
623-846-9000

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com