1124136809 NPI number — TECHNICAL GAS PRODUCTS, INC.

Table of content: (NPI 1124136809)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124136809 NPI number — TECHNICAL GAS PRODUCTS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TECHNICAL GAS PRODUCTS, 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:
1124136809
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/24/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
209 W RIVER RD
Provider Second Line Business Mailing Address:
UNIT 1 & 2
Provider Business Mailing Address City Name:
HOOKSETT
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03106-2628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-847-0745
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
78 LONDONDERRY TPKE
Provider Second Line Business Practice Location Address:
UNIT G-3
Provider Business Practice Location Address City Name:
HOOKSETT
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03106-2000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-847-0745
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SMITH
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO PRESIDENT
Authorized Official Telephone Number:
203-239-1002

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332BX2000X , with the licence number: CSW.0001696 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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