1285826578 NPI number — SPJ CONSULTANTS, INC

Table of content: (NPI 1285826578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285826578 NPI number — SPJ CONSULTANTS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPJ CONSULTANTS, 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:
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:
1285826578
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/10/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2661 RIVA RD
Provider Second Line Business Mailing Address:
SUITE - 611
Provider Business Mailing Address City Name:
ANNAPOLIS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21401-7353
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-571-6226
Provider Business Mailing Address Fax Number:
410-571-7756

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2661 RIVA RD
Provider Second Line Business Practice Location Address:
SUITE - 611
Provider Business Practice Location Address City Name:
ANNAPOLIS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21401-7353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-571-6226
Provider Business Practice Location Address Fax Number:
410-571-7756
Provider Enumeration Date:
08/10/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GROSSMAN
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
STUART
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-571-6226

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  AC0787 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YA0400X , with the licence number: SC0379 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LCA256 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 10954 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LC1233 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: BJ8336845 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: DO050605 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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