1588608343 NPI number — NET 30, INC.

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 1588608343 NPI number — NET 30, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NET 30, INC.
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:
PATIENT RESOURCES COMPANY
Provider Other Organization Name Type Code:
3
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:
1588608343
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
75 MAIDEN LN
Provider Second Line Business Mailing Address:
7TH FL ATTN KELVIN NG
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10038-4810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-598-9400
Provider Business Mailing Address Fax Number:
212-405-2390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
75 MAIDEN LN
Provider Second Line Business Practice Location Address:
7TH FL ATTN KELVIN NG
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10038-4810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-598-9400
Provider Business Practice Location Address Fax Number:
212-405-2390
Provider Enumeration Date:
06/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARRETT
Authorized Official First Name:
CAROLINE
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
212-228-1994

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HHA 299992100 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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