1407182348 NPI number — ALL IN ONE, LLC

Table of content: (NPI 1407182348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407182348 NPI number — ALL IN ONE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
ALL IN ONE, 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:
1407182348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 681986
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37068-1986
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-628-5195
Provider Business Mailing Address Fax Number:
615-628-5197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
367 RIVERSIDE DR
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37064-8984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-628-5195
Provider Business Practice Location Address Fax Number:
615-628-5197
Provider Enumeration Date:
10/28/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NORMAN
Authorized Official First Name:
DINAH
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
615-628-5195

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , with the licence number:  10000000005376 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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