1366614612 NPI number — UNIVERSAL NURSING SERVICE, INC.

Table of content: RACHAEL LEIGH GETZLAFF RN (NPI 1720675671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366614612 NPI number — UNIVERSAL NURSING SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSAL NURSING SERVICE, 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:
1366614612
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/27/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
402 E MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44304-1541
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-434-7318
Provider Business Mailing Address Fax Number:
330-434-0474

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
402 E MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44304-1541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-434-7318
Provider Business Practice Location Address Fax Number:
330-434-0474
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
ROOKARD
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
WESLEY
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
330-434-7318

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0810822 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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