1447785779 NPI number — 7612796 CANADA INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447785779 NPI number — 7612796 CANADA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
7612796 CANADA INC
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:
6
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:
1447785779
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 DRUMMOND
Provider Second Line Business Mailing Address:
1904
Provider Business Mailing Address City Name:
MONTREAL
Provider Business Mailing Address State Name:
QUEBEC
Provider Business Mailing Address Postal Code:
H3G 2X1
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
888-940-2014
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 DRUMMOND
Provider Second Line Business Practice Location Address:
1904
Provider Business Practice Location Address City Name:
MONTREAL
Provider Business Practice Location Address State Name:
QUEBEC
Provider Business Practice Location Address Postal Code:
H3G 2X1
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
888-940-2014
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VERRELLI
Authorized Official First Name:
MAURIZIO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
888-940-2014

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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