1255473591 NPI number — MS. CHERI KRELL-MORRIS MS

Table of content: MS. CHERI KRELL-MORRIS MS (NPI 1255473591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255473591 NPI number — MS. CHERI KRELL-MORRIS MS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRELL-MORRIS
Provider First Name:
CHERI
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS
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:
1255473591
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:
600 CREEKSIDE DR
Provider Second Line Business Mailing Address:
SUITE 601
Provider Business Mailing Address City Name:
POTTSTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19464-9204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-326-2728
Provider Business Mailing Address Fax Number:
610-326-2750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 CREEKSIDE DR
Provider Second Line Business Practice Location Address:
SUITE 601
Provider Business Practice Location Address City Name:
POTTSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19464-9204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-326-2728
Provider Business Practice Location Address Fax Number:
610-326-2750
Provider Enumeration Date:
02/13/2007

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: 103T00000X , with the licence number:  PS006933L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1245267129 . This is a "GROUP NPI #" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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