1205102308 NPI number — LANDMARK PAIN AND SPORTS MEDICINE

Table of content: (NPI 1205102308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205102308 NPI number — LANDMARK PAIN AND SPORTS MEDICINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LANDMARK PAIN AND SPORTS MEDICINE
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:
1205102308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 23515
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22304-9351
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-292-1758
Provider Business Mailing Address Fax Number:
301-292-1759

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1150 VARNUM ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20017-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-292-1758
Provider Business Practice Location Address Fax Number:
301-292-1759
Provider Enumeration Date:
03/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WRIGHT
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
301-292-1758

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2276 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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