1801020771 NPI number — LEAH BAIR HERSHMAN D.O.

Table of content: LEAH BAIR HERSHMAN D.O. (NPI 1801020771)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801020771 NPI number — LEAH BAIR HERSHMAN D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERSHMAN
Provider First Name:
LEAH
Provider Middle Name:
BAIR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
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:
1801020771
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 REGIONAL DR STE C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PINEHURST
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28374-9868
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-338-3381
Provider Business Mailing Address Fax Number:
910-226-0197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 REGIONAL DR STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PINEHURST
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28374-9868
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-338-3381
Provider Business Practice Location Address Fax Number:
910-226-0197
Provider Enumeration Date:
05/07/2009

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: 2086S0129X , with the licence number:  2015-01663 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208600000X , with the licence number: 5101017969 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 2015-01663 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208600000X , with the licence number: 006438 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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