1548483522 NPI number — ADVANTAGE CONSULTING, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548483522 NPI number — ADVANTAGE CONSULTING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANTAGE CONSULTING, 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:
1548483522
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:
3190 ROCHESTER RD
Provider Second Line Business Mailing Address:
SUITE 104
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48083-5422
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-689-0468
Provider Business Mailing Address Fax Number:
248-689-1068

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3190 ROCHESTER RD
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48083-5422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-689-0468
Provider Business Practice Location Address Fax Number:
248-689-1068
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DUNNING
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OCCUPATIONAL THERAPIST, PRESIDENT
Authorized Official Telephone Number:
248-689-0468

Provider Taxonomy Codes

  • Taxonomy code: 261QR0400X , with the licence number:  1885 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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