1366492209 NPI number — DR. MARC S HUSID M.D.

Table of content: DR. MARC S HUSID M.D. (NPI 1366492209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366492209 NPI number — DR. MARC S HUSID M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUSID
Provider First Name:
MARC
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1366492209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/07/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 E HOSPITAL ROAD
Provider Second Line Business Mailing Address:
NEUROSCIENCE AND REHAB CENTER ROOM 12C 12
Provider Business Mailing Address City Name:
FORT GORDON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-787-2697
Provider Business Mailing Address Fax Number:
706-787-1327

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 E HOSPITAL ROAD
Provider Second Line Business Practice Location Address:
NEUROSCIENCE AND REHAB CENTER ROOM 12C 12
Provider Business Practice Location Address City Name:
FORT GORDON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-787-2697
Provider Business Practice Location Address Fax Number:
706-787-1327
Provider Enumeration Date:
05/11/2006

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: 2084N0400X , with the licence number:  051473 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00952883A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: G51473 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00952883C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".