1982626123 NPI number — DR. ANNE MARIE WERNER-DEMPSEY D.C.

Table of content: DR. ANNE MARIE WERNER-DEMPSEY D.C. (NPI 1982626123)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982626123 NPI number — DR. ANNE MARIE WERNER-DEMPSEY D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WERNER-DEMPSEY
Provider First Name:
ANNE
Provider Middle Name:
MARIE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WERNER
Provider Other First Name:
ANNE
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1982626123
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7700 W OLD SHAKOPEE RD
Provider Second Line Business Mailing Address:
SUITE 125
Provider Business Mailing Address City Name:
BLOOMINGTON
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55438-3302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
952-829-0262
Provider Business Mailing Address Fax Number:
952-829-0327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7700 W OLD SHAKOPEE RD
Provider Second Line Business Practice Location Address:
SUITE 125
Provider Business Practice Location Address City Name:
BLOOMINGTON
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55438-3302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
952-829-0262
Provider Business Practice Location Address Fax Number:
952-829-0327
Provider Enumeration Date:
07/24/2006

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:  3912 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: FIRST HEALTH . This is a "2157883" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".
  • Identifier: BLUE CROSS BLUE SHIE . This is a "162D0WE" identifier , issued by the state of ( MN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com