1356681746 NPI number — GLOUCESTER TOWNSHIP PUBLIC SCHOOLS

Table of content: MRS. EVELYNE JEANNE POWELL AIDE (NPI 1750692349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356681746 NPI number — GLOUCESTER TOWNSHIP PUBLIC SCHOOLS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GLOUCESTER TOWNSHIP PUBLIC SCHOOLS
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:
1356681746
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
17 ERIAL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLACKWOOD
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08012-3964
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-227-1400
Provider Business Mailing Address Fax Number:
856-227-4112

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17 ERIAL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLACKWOOD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08012-3964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-227-1400
Provider Business Practice Location Address Fax Number:
856-227-4112
Provider Enumeration Date:
02/21/2013

Additional Information

Authorized Official

Authorized Official Last Name:
FORSYTHE
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
ASSISTANT SCHOOL BUSINESS ADMIN
Authorized Official Telephone Number:
856-227-4100

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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