1598839615 NPI number — J & J CARPENTER

Table of content: (NPI 1598839615)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598839615 NPI number — J & J CARPENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
J & J CARPENTER
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:
AUDIBEL HEARING & AUDIOLOGY
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:
1598839615
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2400 SW COLLEGE RD #206
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OCALA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-873-0034
Provider Business Mailing Address Fax Number:
352-237-0083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2400 SW COLLEGE RD #206
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OCALA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-873-0034
Provider Business Practice Location Address Fax Number:
352-237-0083
Provider Enumeration Date:
11/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CARPENTER
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
D
Authorized Official Title or Position:
OWNER HEARING INSTRUMENT SPECIALIST
Authorized Official Telephone Number:
352-873-0034

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 237700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: S1998 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: S2568 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1063623 . This is a "WVA WC" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".