1679756696 NPI number — MR. JAMES ROBIN HOOD

Table of content: MR. JAMES ROBIN HOOD (NPI 1679756696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679756696 NPI number — MR. JAMES ROBIN HOOD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOOD
Provider First Name:
JAMES
Provider Middle Name:
ROBIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1679756696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/12/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14165 W BACON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBION
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14411-9022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
585-589-9669
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBION
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14411-1630
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
585-589-5685
Provider Business Practice Location Address Fax Number:
585-589-1845
Provider Enumeration Date:
12/12/2007

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: 183500000X , with the licence number:  029206 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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