1124212329 NPI number — EDWARD FRANK BABEL FNP

Table of content: EDWARD FRANK BABEL FNP (NPI 1124212329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124212329 NPI number — EDWARD FRANK BABEL FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BABEL
Provider First Name:
EDWARD
Provider Middle Name:
FRANK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
M

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:
1124212329
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1605 DOCTORS CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28401-7405
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-343-8736
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 WEST BOILING SPRING LAKES ROAD
Provider Second Line Business Practice Location Address:
NEW HOPE CLINIC
Provider Business Practice Location Address City Name:
BOILING SPRING LAKES
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-845-5333
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/30/2007

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: 363LF0000X , with the licence number:  5004252 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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