1457694911 NPI number — DR. BAIRBRE AINE NI MHAILLE MB BCH BAO

Table of content: CASEY HOLMES RD (NPI 1881364917)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457694911 NPI number — DR. BAIRBRE AINE NI MHAILLE MB BCH BAO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NI MHAILLE
Provider First Name:
BAIRBRE
Provider Middle Name:
AINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MB BCH BAO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NI MHAILLE
Provider Other First Name:
BAIRBRE
Provider Other Middle Name:
AINE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1457694911
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
33 HAZELWOOD
Provider Second Line Business Mailing Address:
TAYLORS HILL
Provider Business Mailing Address City Name:
GALWAY
Provider Business Mailing Address State Name:
CONNAUGHT
Provider Business Mailing Address Postal Code:
NA
Provider Business Mailing Address Country Code:
IE
Provider Business Mailing Address Telephone Number:
00353872456240
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 GALWAY UNIVERSITY HOSPITALS
Provider Second Line Business Practice Location Address:
NEWCASTLE ROAD
Provider Business Practice Location Address City Name:
GALWAY
Provider Business Practice Location Address State Name:
CONNAUGHT
Provider Business Practice Location Address Postal Code:
NA
Provider Business Practice Location Address Country Code:
IE
Provider Business Practice Location Address Telephone Number:
0035391544000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2013

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: 207R00000X , with the licence number:  RP20773 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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