1578851010 NPI number — MRS. ALICIA JEAN HUNT

Table of content: MRS. ALICIA JEAN HUNT (NPI 1578851010)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578851010 NPI number — MRS. ALICIA JEAN HUNT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUNT
Provider First Name:
ALICIA
Provider Middle Name:
JEAN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

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:
1578851010
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
246 MANOR RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEXFORD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15090
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-799-0380
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3390 SAXONBURG BLVD
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
GLENSHAW
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-767-5967
Provider Business Practice Location Address Fax Number:
421-767-5960
Provider Enumeration Date:
07/19/2011

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: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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