1184689960 NPI number — US ARMY

Table of content: (NPI 1184689960)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184689960 NPI number — US ARMY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
US ARMY
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:
1184689960
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNIT 28038
Provider Second Line Business Mailing Address:
US ARMY DENTAL ACTIVITY BAVARIA
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09112
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
11-499-6628
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIT 28038
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VILSECK
Provider Business Practice Location Address State Name:
GE
Provider Business Practice Location Address Postal Code:
09244
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
011499662834738
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HALL
Authorized Official First Name:
ERIC
Authorized Official Middle Name:
ALLEN
Authorized Official Title or Position:
PROSTHODONTIST
Authorized Official Telephone Number:
502-624-9670

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  20436 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QD0000X , with the licence number: 8059 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com