1477949741 NPI number — RAINBOW-2-RAINBOW HEALTHCARE INC

Table of content: DR. ASHTON DAWN RITCHISON AUD (NPI 1881251718)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477949741 NPI number — RAINBOW-2-RAINBOW HEALTHCARE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAINBOW-2-RAINBOW HEALTHCARE 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:
1477949741
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
860 HEBRON PKWY
Provider Second Line Business Mailing Address:
SUITE 203
Provider Business Mailing Address City Name:
LEWISVILLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75057-5151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-219-0020
Provider Business Mailing Address Fax Number:
972-219-0019

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
860 HEBRON PKWY
Provider Second Line Business Practice Location Address:
SUITE 203
Provider Business Practice Location Address City Name:
LEWISVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75057-5151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-219-0020
Provider Business Practice Location Address Fax Number:
972-219-0019
Provider Enumeration Date:
04/13/2015

Additional Information

Authorized Official

Authorized Official Last Name:
SMILLIE
Authorized Official First Name:
EFFIE
Authorized Official Middle Name:
MAPIYE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
972-219-0020

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  801941885 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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