1124293105 NPI number — CONTEMPORARY WOMEN'S CARE PLC

Table of content: MISS JESSICA RYAN REEVES (NPI 1871737445)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124293105 NPI number — CONTEMPORARY WOMEN'S CARE PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CONTEMPORARY WOMEN'S CARE PLC
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:
1124293105
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1450 S DOBSON RD STE A303
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85202-4746
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-491-5886
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 S. DOBSON RD.
Provider Second Line Business Practice Location Address:
SUITE A303
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-496-2651
Provider Business Practice Location Address Fax Number:
480-491-3388
Provider Enumeration Date:
04/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BARADARAN
Authorized Official First Name:
ALI
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
480-496-2651

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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