1669523197 NPI number — DR. KAREN NEPVEU M.D.

Table of content: DR. KAREN NEPVEU M.D. (NPI 1669523197)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669523197 NPI number — DR. KAREN NEPVEU M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEPVEU
Provider First Name:
KAREN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1669523197
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 536
Provider Second Line Business Mailing Address:
ARTHRITIS & RHEUMATOLOGY CENTER, PLC
Provider Business Mailing Address City Name:
WILLISTON
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05495-0536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-654-3993
Provider Business Mailing Address Fax Number:
802-654-0909

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
792 COLLEGE PKWY STE 303
Provider Second Line Business Practice Location Address:
ARTHRITIS & RHEUMATOLOGY CENTER, PLC
Provider Business Practice Location Address City Name:
COLCHESTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05446-3052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-654-3993
Provider Business Practice Location Address Fax Number:
802-654-0909
Provider Enumeration Date:
01/12/2007

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: 207RR0500X , with the licence number:  042-8093 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: 042-8093 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0VN1482 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




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