1265981211 NPI number — DR. INGA DAKOTA SMITH-PRATT MBBS, DM OBGYN

Table of content: ERIKA MONIQUE HILL (NPI 1427884857)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265981211 NPI number — DR. INGA DAKOTA SMITH-PRATT MBBS, DM OBGYN

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
SMITH-PRATT

Provider First Name:
INGA

Provider Middle Name:
DAKOTA

Provider Name Prefix Text:
DR.

Provider Name Suffix Text:

Provider Credential Text:
MBBS, DM OBGYN

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:
1265981211

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
09/30/2016

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX EE15381

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
NASSAU

Provider Business Mailing Address State Name:
NEW PROVIDENCE

Provider Business Mailing Address Postal Code:
00000

Provider Business Mailing Address Country Code:
BS

Provider Business Mailing Address Telephone Number:
242-393-0614

Provider Business Mailing Address Fax Number:
242-393-0618

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ADVANCED FERTILITY AND GYNECOLOGY

Provider Second Line Business Practice Location Address:
SHIRLEY ST. PLAZA SECOND FLOOR

Provider Business Practice Location Address City Name:
NASSAU

Provider Business Practice Location Address State Name:
NEW PROVIDENCE

Provider Business Practice Location Address Postal Code:
00000

Provider Business Practice Location Address Country Code:
BS

Provider Business Practice Location Address Telephone Number:
242-393-0614

Provider Business Practice Location Address Fax Number:
242-393-0619

Provider Enumeration Date:
09/30/2016

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: 207V00000X , with the licence number: S1447 , registered in the state of ZZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .