1922194943 NPI number — WALTER ANTHONY LIPSKI III TECHNICIANS

Table of content: WALTER ANTHONY LIPSKI III TECHNICIANS (NPI 1922194943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922194943 NPI number — WALTER ANTHONY LIPSKI III TECHNICIANS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LIPSKI
Provider First Name:
WALTER
Provider Middle Name:
ANTHONY
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
TECHNICIANS
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:
1922194943
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:
19 REAGANS RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAPE MAY COURT HOUSE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08210-1630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-463-1603
Provider Business Mailing Address Fax Number:
609-898-6213

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 MUNRO AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAPE MAY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08204-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-898-6956
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/05/2006

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: 247200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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