1023701497 NPI number — ALL ABOUT SENIORS, INC.

Table of content: DR. SUSAN LUCILLE HECKMAN PHARMD, RP (NPI 1972972628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023701497 NPI number — ALL ABOUT SENIORS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALL ABOUT SENIORS, 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:
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:
1023701497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/31/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1125 HILLWOOD LOOP
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95648-3278
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-201-2731
Provider Business Mailing Address Fax Number:
916-357-9004

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4300 LIVE OAK LN STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROCKLIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95765-5628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-259-4446
Provider Business Practice Location Address Fax Number:
916-357-9004
Provider Enumeration Date:
05/31/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AKINS
Authorized Official First Name:
CHERYL
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
916-201-2731

Provider Taxonomy Codes

  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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