1588272678 NPI number — ELLEN J ZEMPEL LLMSW

Table of content: ELLEN J ZEMPEL LLMSW (NPI 1588272678)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588272678 NPI number — ELLEN J ZEMPEL LLMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZEMPEL
Provider First Name:
ELLEN
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LLMSW
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:
1588272678
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 427
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLMAN
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49746-0427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-354-2197
Provider Business Mailing Address Fax Number:
989-354-1952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N RIPLEY BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPENA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49707-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-358-5993
Provider Business Practice Location Address Fax Number:
989-358-3712
Provider Enumeration Date:
07/15/2020

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: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: PENDING , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com