1083005888 NPI number — MRS. DEBORAH PIERCE MECHANOTHERAPIST

Table of content: MRS. DEBORAH PIERCE MECHANOTHERAPIST (NPI 1083005888)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083005888 NPI number — MRS. DEBORAH PIERCE MECHANOTHERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIERCE
Provider First Name:
DEBORAH
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MECHANOTHERAPIST
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:
1083005888
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/16/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 EXTON LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILLINGBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08046-2216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-929-3553
Provider Business Mailing Address Fax Number:
609-977-3903

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
55 EXTON LANE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLINGBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08046-2216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-929-3553
Provider Business Practice Location Address Fax Number:
608-877-3903
Provider Enumeration Date:
02/16/2015

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: 172M00000X , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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