1376286203 NPI number — ONE STOP STAFFING, TRAINING, & CONSULTING LLC

Table of content: (NPI 1376286203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376286203 NPI number — ONE STOP STAFFING, TRAINING, & CONSULTING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONE STOP STAFFING, TRAINING, & CONSULTING LLC
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:
1376286203
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1782
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JASPER
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32052-1782
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-292-6563
Provider Business Mailing Address Fax Number:
866-462-5823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 3RD ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JASPER
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32052-8915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-638-0089
Provider Business Practice Location Address Fax Number:
866-462-5823
Provider Enumeration Date:
04/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
LUMPKIN
Authorized Official First Name:
LATIA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
386-292-6563

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2241 . This is a "STAFFING POOL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com