1578652350 NPI number — DR. PATRICIA ANITA CAHOJ PT, MS, DPT, GCS

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 1578652350 NPI number — DR. PATRICIA ANITA CAHOJ PT, MS, DPT, GCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAHOJ
Provider First Name:
PATRICIA
Provider Middle Name:
ANITA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PT, MS, DPT, GCS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TUCKER
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
ANITA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1578652350
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
901 S NATIONAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65897-0027
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
417-836-3070
Provider Business Mailing Address Fax Number:
417-836-3032

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
606 E CHERRY ST
Provider Second Line Business Practice Location Address:
ROOM 100
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65806-3401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
417-836-3070
Provider Business Practice Location Address Fax Number:
417-836-3032
Provider Enumeration Date:
10/12/2006

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: 225100000X , with the licence number:  R0950 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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