1326124009 NPI number — STEPHEN A DRUKE & LORI S RAMOS

Table of content: (NPI 1326124009)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326124009 NPI number — STEPHEN A DRUKE & LORI S RAMOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STEPHEN A DRUKE & LORI S RAMOS
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:
COOS COUNTY CHIROPRACTIC
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:
1326124009
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 212
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BERLIN
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03570-0212
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-752-2310
Provider Business Mailing Address Fax Number:
603-752-2310

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 EXCHANGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BERLIN
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03570-1948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-752-2310
Provider Business Practice Location Address Fax Number:
603-752-2310
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMOS
Authorized Official First Name:
LORI
Authorized Official Middle Name:
SANDRA
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
603-752-2310

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2410496 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111N00000X , with the licence number: 2520496 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: 0060000941 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 49083 . This is a "BCBS OF VT, COOS COUNTY" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 49084 . This is a "BCBS OF VT, STEPHEN DRUKE" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 0501199Y0NH01 . This is a "ANTHEM, STEPHEN DRUKE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 0506749Y0NH01 . This is a "ANTHEM, LORI RAMOS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 30251486 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 350047737 . This is a "RAILROAD MEDICARE, RAMOS" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: COOS358582 . This is a "ANTHEM, COOS COUNTY CHIRO" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 350047736 . This is a "RAILROAD MEDICARE, DRUKE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 49085 . This is a "BCBS OF VT, LORI RAMOS" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 30251487 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".




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