1841327368 NPI number — KREITL INC.

Table of content: (NPI 1841327368)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841327368 NPI number — KREITL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KREITL INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MACY'S HEARING CARE
Provider Other Organization Name Type Code:
3
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:
1841327368
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12154 GREEN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GOODRICH
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48438-9740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-636-2738
Provider Business Mailing Address Fax Number:
810-636-2739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12154 GREEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOODRICH
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48438-9740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-636-2738
Provider Business Practice Location Address Fax Number:
810-636-2739
Provider Enumeration Date:
02/28/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BJEKICH
Authorized Official First Name:
KATHRYN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DEALER
Authorized Official Telephone Number:
248-597-2044

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  3501002674 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332S00000X , with the licence number: 3501002674 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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