1003806530 NPI number — MRS. SHERRI D TORODE P.T.

Table of content: MRS. SHERRI D TORODE P.T. (NPI 1003806530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003806530 NPI number — MRS. SHERRI D TORODE P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TORODE
Provider First Name:
SHERRI
Provider Middle Name:
D
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
P.T.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TORODE
Provider Other First Name:
SHERRI
Provider Other Middle Name:
D
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.T.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1003806530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 720
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AMHERST
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24521-0720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-946-1314
Provider Business Mailing Address Fax Number:
434-946-1083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 S MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24521-2616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-946-1314
Provider Business Practice Location Address Fax Number:
434-946-1083
Provider Enumeration Date:
10/26/2005

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: 225100000X , with the licence number:  2305001459 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 210448 . This is a "SOUTHERN HEALTH" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 542022159 . This is a "TRICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010081211 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 650021581 . This is a "RR MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 217635 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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