1639421183 NPI number — PAHOS INC.

Table of content: DR. KENNETH J. MANGES PH.D. (NPI 1104879394)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639421183 NPI number — PAHOS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PAHOS 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:
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:
1639421183
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2059 COLUMBIANA RD STE 105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35216-2155
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-822-1915
Provider Business Mailing Address Fax Number:
205-263-1915

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2059 COLUMBIANA RD STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35216-2155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-822-1915
Provider Business Practice Location Address Fax Number:
205-263-1915
Provider Enumeration Date:
10/09/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PAHOS
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
P
Authorized Official Title or Position:
FRANCHISE OWNER
Authorized Official Telephone Number:
205-822-1915

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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