1548636285 NPI number — ALMA MAY F DEWEY MD A PROFESSIONAL CORPORATION

Table of content: ROBYN LEE LOTSPEICH M.A. E.T. (NPI 1487855805)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548636285 NPI number — ALMA MAY F DEWEY MD A PROFESSIONAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALMA MAY F DEWEY MD A PROFESSIONAL CORPORATION
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:
1548636285
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9484 S EASTERN AVE
Provider Second Line Business Mailing Address:
#102
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89123-3987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-492-9990
Provider Business Mailing Address Fax Number:
702-616-7032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9484 S EASTERN AVE
Provider Second Line Business Practice Location Address:
#102
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89123-3987
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-492-9990
Provider Business Practice Location Address Fax Number:
702-616-7032
Provider Enumeration Date:
08/17/2015

Additional Information

Authorized Official

Authorized Official Last Name:
DEWEY
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
G
Authorized Official Title or Position:
BILLER/BOOKKEEPER
Authorized Official Telephone Number:
702-376-0783

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  8669 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1447397625 . This is a "INDIVIDUAL NPI" identifier . This identifiers is of the category "OTHER".




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