1154500999 NPI number — ALLINGHAM & ASSOCIATES PC

Table of content: (NPI 1154500999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154500999 NPI number — ALLINGHAM & ASSOCIATES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLINGHAM & ASSOCIATES PC
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:
OAKTON URGENT CARE CENTER
Provider Other Organization Name Type Code:
5
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:
1154500999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2915 HUNTER MILL ROAD
Provider Second Line Business Mailing Address:
SUITE 11
Provider Business Mailing Address City Name:
OAKTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22124
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-255-1190
Provider Business Mailing Address Fax Number:
703-255-1193

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2915 HUNTER MILL ROAD
Provider Second Line Business Practice Location Address:
SUITE 11
Provider Business Practice Location Address City Name:
OAKTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-255-1190
Provider Business Practice Location Address Fax Number:
703-255-1193
Provider Enumeration Date:
10/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
ALLINGHAM
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
G.
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
703-255-1190

Provider Taxonomy Codes

  • Taxonomy code: 146D00000X , with the licence number:  0101046274 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 0101053529 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QU0200X , with the licence number: 0101046274 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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