1174608186 NPI number — MRS. LAUREN TRIPLETT-SCHWEICKART DPM

Table of content: MRS. LAUREN TRIPLETT-SCHWEICKART DPM (NPI 1174608186)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174608186 NPI number — MRS. LAUREN TRIPLETT-SCHWEICKART DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRIPLETT-SCHWEICKART
Provider First Name:
LAUREN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
DPM
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:
1174608186
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/13/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1101 SAINT CHRISTOPHER DR.
Provider Second Line Business Mailing Address:
SUITE 355
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41101-7000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-836-3055
Provider Business Mailing Address Fax Number:
606-836-0123

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 RAINTREE CT
Provider Second Line Business Practice Location Address:
ASHLAND
Provider Business Practice Location Address City Name:
ASHLAND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41101-3605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-922-0803
Provider Business Practice Location Address Fax Number:
740-532-1157
Provider Enumeration Date:
10/26/2006

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: 213E00000X , with the licence number:  196 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 213E00000X , with the licence number: 2607 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 80001969 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0791808 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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