1568467199 NPI number — DR. JAMES WALTER SNEAD M.D.

Table of content: TERRI F BROWN-WHITEHORN M.D. (NPI 1659391167)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568467199 NPI number — DR. JAMES WALTER SNEAD M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SNEAD
Provider First Name:
JAMES
Provider Middle Name:
WALTER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1568467199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/17/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
281 COUNTY ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATTLEBORO
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02703-3511
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-226-2213
Provider Business Mailing Address Fax Number:
508-431-2637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
281 COUNTY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATTLEBORO
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02703-3511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-226-2213
Provider Business Practice Location Address Fax Number:
508-431-2637
Provider Enumeration Date:
06/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X , with the licence number:  230876 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207XX0005X , with the licence number: 230876 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 2133172 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0042544 . This is a "NHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 495851 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AA86041 . This is a "HPHC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: J41331 . This is a "MABC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 127839 . This is a "FALLON" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 4004775 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2026 www.npivalidator.com