1598726135 NPI number — DR. BARBARA HUNTER ROMFO PHD,LP

Table of content: WINONA FRANKLIN (NPI 1760924302)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598726135 NPI number — DR. BARBARA HUNTER ROMFO PHD,LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMFO
Provider First Name:
BARBARA
Provider Middle Name:
HUNTER
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD,LP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HUNTER-ROMFO
Provider Other First Name:
BARBARA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598726135
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/09/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 HUNTER PARK
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PRINCETON
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
24740-2532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-487-6121
Provider Business Mailing Address Fax Number:
304-487-8741

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 HUNTER PARK
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PRINCETON
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
24740-2532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-487-6121
Provider Business Practice Location Address Fax Number:
304-487-8741
Provider Enumeration Date:
03/31/2006

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: 103TC0700X , with the licence number:  956 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 419750000 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".