1407154685 NPI number — LEDA LOUIE M SARMIENTO PT

Table of content: LEDA LOUIE M SARMIENTO PT (NPI 1407154685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407154685 NPI number — LEDA LOUIE M SARMIENTO PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SARMIENTO
Provider First Name:
LEDA LOUIE
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

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:
1407154685
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2222 SULLIVAN TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18040-7958
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-991-2034
Provider Business Mailing Address Fax Number:
640-438-2046

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1420 SAINT MARYS CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOBART
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46342-6561
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-942-6826
Provider Business Practice Location Address Fax Number:
219-942-6826
Provider Enumeration Date:
03/11/2011

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: 225100000X , with the licence number:  05009407A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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