1194493494 NPI number — PLEASANT CLINICAL & CONSULTING COMPANY

Table of content: MEGAN EGGLESTON HEARING SPECIALIST (NPI 1073884946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194493494 NPI number — PLEASANT CLINICAL & CONSULTING COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PLEASANT CLINICAL & CONSULTING COMPANY
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:
1194493494
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 38633
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENRICO
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23231-1133
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6436 BLOSSOM VIEW LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENRICO
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23231-5341
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-537-2057
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2021

Additional Information

Authorized Official

Authorized Official Last Name:
PLEASANT
Authorized Official First Name:
CHARNESSA
Authorized Official Middle Name:
KEYONA
Authorized Official Title or Position:
OWNER/THERAPIST
Authorized Official Telephone Number:
804-537-2057

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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