1174745905 NPI number — MRS. LISA JANE SPINDLER PT

Table of content: MRS. LISA JANE SPINDLER PT (NPI 1174745905)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174745905 NPI number — MRS. LISA JANE SPINDLER PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SPINDLER
Provider First Name:
LISA
Provider Middle Name:
JANE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SMITH
Provider Other First Name:
LISA
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174745905
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
90 THOMAS ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ASHLAND
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01721-1063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-881-4308
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
157 UNION ST
Provider Second Line Business Practice Location Address:
MARLBOROUGH HOSPITAL
Provider Business Practice Location Address City Name:
MARLBOROUGH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-486-5400
Provider Business Practice Location Address Fax Number:
508-303-2065
Provider Enumeration Date:
05/02/2007

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: 225100000X , with the licence number:  5255 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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