1871594267 NPI number — MR. ALAN SCOTT LOVEJOY CRNA, MSN

Table of content: MRS. BRITTNEY BEER B.S. (NPI 1477886133)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871594267 NPI number — MR. ALAN SCOTT LOVEJOY CRNA, MSN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOVEJOY
Provider First Name:
ALAN
Provider Middle Name:
SCOTT
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
CRNA, MSN
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LOVEJOY
Provider Other First Name:
ALAN
Provider Other Middle Name:
SCOTT
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNA, MSN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1871594267
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2635 G ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93301-2813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-633-1500
Provider Business Mailing Address Fax Number:
661-633-2700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 GREENFIELD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANFORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93230-3513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-633-1500
Provider Business Practice Location Address Fax Number:
661-633-2700
Provider Enumeration Date:
08/09/2005

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: 163W00000X , with the licence number:  RN00151612 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , with the licence number: AP30006631 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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