1699102186 NPI number — ROBIN R LIGHTLE PTA

Table of content: ROBIN R LIGHTLE PTA (NPI 1699102186)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699102186 NPI number — ROBIN R LIGHTLE PTA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIGHTLE
Provider First Name:
ROBIN
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PTA
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:
1699102186
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
405 HOOPENGARNER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAPAKONETA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45895-1215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
567-356-9937
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2075 N EASTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIMA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45807-2067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-331-2442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/30/2013

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: 225200000X , with the licence number:  PTA.09039 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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