1053683458 NPI number — MARSHA SCHEINHARTZ

Table of content: MARSHA SCHEINHARTZ (NPI 1053683458)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053683458 NPI number — MARSHA SCHEINHARTZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEINHARTZ
Provider First Name:
MARSHA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

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:
1053683458
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4385 S BALSAM ST UNIT 12-204
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80123-4609
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4385 S BALSAM ST UNIT 12-204
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80123-4609
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-234-5520
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2012

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: 235Z00000X , with the licence number:  1778 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: SLP0000023 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: O1-0001603 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: SL011063 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: SP-664 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 235Z00000X , with the licence number: 01059047 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: O1-0001603 . This is a "STATE OF DE DIV OF PROFESSIONAL REGULATION PROFESSIONAL LICENSE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: SL011063 . This is a "COMMONWEALTH OF PA DEPT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0000023 . This is a "CO DEPT OF REGULATORY AGENCIES DIV OF PROFESSIONS AND OCCUPATIONS" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: SP-664 . This is a "STATE OF WY BOARD OF EXAMINERS OF SPEECH PATHOLOGY/AUDIOLOGY" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
  • Identifier: 1778 . This is a "STATE OF NE DEPT OF HEALTH AND HUMAN SERVICES DIV OF PUBLIC HEALTH" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




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