1598319410 NPI number — JOEANNETHOMASJOSEPH - JEBS CONSULTANTS

Table of content: BAILA SIMA HARRIS MD (NPI 1588185664)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598319410 NPI number — JOEANNETHOMASJOSEPH - JEBS CONSULTANTS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOEANNETHOMASJOSEPH - JEBS CONSULTANTS
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:
Provider Other Organization Name Type Code:
6
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:
1598319410
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3108 6TH ST W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEHIGH ACRES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33971-1460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-491-4700
Provider Business Mailing Address Fax Number:
239-491-4700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3108 6TH ST W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGH ACRES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33971-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-491-4700
Provider Business Practice Location Address Fax Number:
239-491-4700
Provider Enumeration Date:
07/29/2019

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS JOSEPH
Authorized Official First Name:
JOEANNE
Authorized Official Middle Name:
M
Authorized Official Title or Position:
SERVICE PROVIDER & CONSULTANT
Authorized Official Telephone Number:
239-491-4700

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 246Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 374700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 246YC3302X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10095XX . This is a "FLORIDA NOTARY SIGNING AGENT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 168391XX . This is a "NPN NATIONAL PRODUCER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1701222XX . This is a "FCC ERATE CONSULTANT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0792136XX . This is a "DUNN REGISTRATION" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2049072XX . This is a "SAM" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: W12218XX . This is a "FLORIDA FINANCIAL AGENT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 179006XX . This is a "CMS/HHS AGENT/BROKER/ CONSULTANT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2079072XX . This is a "CBE/MBE/WBE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 357XX . This is a "DOD CAGE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1811541725XXX . This is a "NPI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 468015203795XX . This is a "FLDOR" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 468015203795XX . This is a "FLDOR CERTIFICATE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 5638XX . This is a "HUBZONE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 00259449XX . This is a "FRN REGISTRATION" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1430495XX . This is a "CRN 498" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2049072XX . This is a "SBA WOSB" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 2049072XX . This is a "US HUD SECTION 3 BUSINESS CONCERN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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