1548301724 NPI number — SPK2ME INC

Table of content: (NPI 1548301724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548301724 NPI number — SPK2ME INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPK2ME 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:
1548301724
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10108 SECOND STAR CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27613-4158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-688-6693
Provider Business Mailing Address Fax Number:
919-688-6774

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10108 SECOND STAR CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27613-4158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-688-6693
Provider Business Practice Location Address Fax Number:
919-688-6774
Provider Enumeration Date:
02/09/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DANIELS
Authorized Official First Name:
BOBBI
Authorized Official Middle Name:
SHIRLEY
Authorized Official Title or Position:
FOUNDERDIRECTOR
Authorized Official Telephone Number:
919-688-6693

Provider Taxonomy Codes

  • Taxonomy code: 2355S0801X , with the licence number:  0154 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 2355S0801X , with the licence number: 0126 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 235Z00000X , with the licence number: 3804 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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