1194861302 NPI number — MRS. ANNIKKI M KURVI LMSW

Table of content: MRS. ANNIKKI M KURVI LMSW (NPI 1194861302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194861302 NPI number — MRS. ANNIKKI M KURVI LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KURVI
Provider First Name:
ANNIKKI
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
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:
1194861302
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:
4275 FOXPOINTE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST BLOOMFIELD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48323
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-738-3921
Provider Business Mailing Address Fax Number:
248-646-4756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31000 LAHSER RD
Provider Second Line Business Practice Location Address:
STE 6
Provider Business Practice Location Address City Name:
BEVERLY HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-646-6227
Provider Business Practice Location Address Fax Number:
248-646-4756
Provider Enumeration Date:
01/29/2007

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: 1041C0700X , with the licence number:  6801033479 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 278588 . This is a "VALUE OPTION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8008913220 . This is a "BLUE CROSS BLUE SHIELD MI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com