1376876797 NPI number — BARBARA GETCHELL & ASSOCIATES, P.C.

Table of content: (NPI 1376876797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376876797 NPI number — BARBARA GETCHELL & ASSOCIATES, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBARA GETCHELL & ASSOCIATES, P.C.
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:
BEACH COUNSELING CENTER
Provider Other Organization Name Type Code:
3
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:
1376876797
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2816
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KITTY HAWK
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27949-2816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-441-5528
Provider Business Mailing Address Fax Number:
252-261-1336

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 E SOTHEL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KILL DEVIL HILLS
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27948-6961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-441-5528
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GETCHELL
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
ELLEN
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
252-441-5528

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  C-002850 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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