1053539122 NPI number — FAMILY HEALTHCARE, P.C.

Table of content: (NPI 1053539122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053539122 NPI number — FAMILY HEALTHCARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY HEALTHCARE, P.C.
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:
RICHARD N. KATON AND ASSOCIATES
Provider Other Organization Name Type Code:
4
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:
1053539122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20528 BOLAND FARM RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
GERMANTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20876-4021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-972-0400
Provider Business Mailing Address Fax Number:
301-916-1453

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20528 BOLAND FARM RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
GERMANTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20876-4021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-972-0400
Provider Business Practice Location Address Fax Number:
301-916-1453
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOWARD
Authorized Official First Name:
MONICA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
MANAGING PARTNER
Authorized Official Telephone Number:
301-972-0400

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  D0006258 , 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)

  • Identifier: 1659423267 . This is a "PERSONAL NPI NUMBER" identifier , issued by the state of ( MH ) . This identifiers is of the category "OTHER".




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