1841248390 NPI number — DR. JOHN PAUL HUNTINGTON D.C.

Table of content: (NPI 1447501846)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841248390 NPI number — DR. JOHN PAUL HUNTINGTON D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNTINGTON
Provider First Name:
JOHN
Provider Middle Name:
PAUL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1841248390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORACLE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85623-0070
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
520-896-9844
Provider Business Mailing Address Fax Number:
520-896-9881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
970 N. DODGE DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORACLE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85623-0070
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-896-9844
Provider Business Practice Location Address Fax Number:
520-896-9881
Provider Enumeration Date:
05/05/2006

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: 111N00000X , with the licence number:  4419 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1Z2267 . This is a "HEALTHNET" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 860916301 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: 147935 . This is a "AHCCCS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
  • Identifier: AZ0248180 . This is a "BLUESHIELD BLUECROSS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




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