1649491614 NPI number — MRS. JOIE MARISA REIMER-SPRITZ M.A., ED ECSE

Table of content: MRS. JOIE MARISA REIMER-SPRITZ M.A., ED ECSE (NPI 1649491614)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649491614 NPI number — MRS. JOIE MARISA REIMER-SPRITZ M.A., ED ECSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REIMER-SPRITZ
Provider First Name:
JOIE
Provider Middle Name:
MARISA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., ED ECSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
REIMER
Provider Other First Name:
JOIE
Provider Other Middle Name:
MARISA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.A.,ED ECSE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649491614
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
91 FARRAGUT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SWAMPSCOTT
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01907-1936
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
781-598-1215
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 JOHNSON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01902-4001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-593-2727
Provider Business Practice Location Address Fax Number:
781-593-2542
Provider Enumeration Date:
05/01/2007

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: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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