1497004667 NPI number — ON WITH LIFE, INC

Table of content: (NPI 1497004667)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497004667 NPI number — ON WITH LIFE, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ON WITH LIFE, 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:
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:
1497004667
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 SW ANKENY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANKENY
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
50023
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
515-289-9645
Provider Business Mailing Address Fax Number:
515-289-9649

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
715 SW ANKENY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANKENY
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-289-9645
Provider Business Practice Location Address Fax Number:
515-289-9649
Provider Enumeration Date:
09/04/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LENTZ
Authorized Official First Name:
ALISON
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH LANGUAGE THERAPIST
Authorized Official Telephone Number:
515-289-9645

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  001868 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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