1235202409 NPI number — SHEILA SHERBERT INC.

Table of content: (NPI 1235202409)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235202409 NPI number — SHEILA SHERBERT INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SHEILA SHERBERT INC.
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:
SHEILA'S SHEER ELEGANCE
Provider Other Organization Name Type Code:
3
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:
1235202409
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9840 ALTERNATE A1A
Provider Second Line Business Mailing Address:
SUITE 401
Provider Business Mailing Address City Name:
PALM BEACH GARDENS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-775-1631
Provider Business Mailing Address Fax Number:
561-775-1392

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9840 ALTERNATE A1A
Provider Second Line Business Practice Location Address:
SUITE 401
Provider Business Practice Location Address City Name:
PALM BEACH GARDENS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-775-1631
Provider Business Practice Location Address Fax Number:
561-775-1392
Provider Enumeration Date:
11/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SHERBERT
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
561-775-1631

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4780480001 . This is a "SUPPLIER NUMBER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com