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

Table of content: DR. BAIRBRE AINE NI MHAILLE MB BCH BAO (NPI 1457694911)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

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" .