1285917757 NPI number — MRS. CHRISTINE MARY KUHLMAN C.N.P.

Table of content: MRS. CHRISTINE MARY KUHLMAN C.N.P. (NPI 1285917757)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285917757 NPI number — MRS. CHRISTINE MARY KUHLMAN C.N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUHLMAN
Provider First Name:
CHRISTINE
Provider Middle Name:
MARY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
C.N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WANK
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285917757
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 SCOTT RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SWANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43558-8714
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-826-2220
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5200 HARROUN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SYLVANIA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43560-2168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-824-5541
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2011

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: 363LF0000X , with the licence number:  COA-12630 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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