1033202569 NPI number — WINDSOR FOOT AND ANKLE CENTER PA, INC.

Table of content: (NPI 1033202569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033202569 NPI number — WINDSOR FOOT AND ANKLE CENTER PA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WINDSOR FOOT AND ANKLE CENTER PA, 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:
NOEL BARNETT, D.P.M
Provider Other Organization Name Type Code:
5
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:
1033202569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/26/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 47354
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21244-0354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-298-7045
Provider Business Mailing Address Fax Number:
410-298-1233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 N ROLLING RD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
WINDSOR MILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21244-1990
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-298-7045
Provider Business Practice Location Address Fax Number:
410-298-1233
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARNETT
Authorized Official First Name:
NOEL
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PRESIDENT AND OWNER
Authorized Official Telephone Number:
410-298-7045

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  01243 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com