1801124060 NPI number — MARGARET CLARK ZAPPITELLO

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801124060 NPI number — MARGARET CLARK ZAPPITELLO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAPPITELLO
Provider First Name:
MARGARET
Provider Middle Name:
CLARK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CLARK
Provider Other First Name:
MARGARET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801124060
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 S 18TH AVE
Provider Second Line Business Mailing Address:
D-3
Provider Business Mailing Address City Name:
BRIGHTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80601-2412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-685-1700
Provider Business Mailing Address Fax Number:
720-685-8888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 S 18TH AVE
Provider Second Line Business Practice Location Address:
D-3
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80601-2412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-685-1700
Provider Business Practice Location Address Fax Number:
720-685-8888
Provider Enumeration Date:
11/30/2009

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: 101YP2500X , with the licence number:  LPC-2536 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2536 . This is a "CO STATE LICENSE #" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".