1376859959 NPI number — MARTHA NORTON, P.A.

Table of content: JAVIER DEL CASTILLO LCSW, CAC III (NPI 1801985924)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376859959 NPI number — MARTHA NORTON, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARTHA NORTON, P.A.
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:
1376859959
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20600 RIVER VIEW DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROLAND
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72135-9387
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-580-2222
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20600 RIVER VIEW DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROLAND
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72135-9387
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-580-2222
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2010

Additional Information

Authorized Official

Authorized Official Last Name:
NORTON
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
501-580-2222

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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