1649478439 NPI number — JO-ANN WHITMAN WHITMAN MED, CCC-A

Table of content: JO-ANN WHITMAN WHITMAN MED, CCC-A (NPI 1649478439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649478439 NPI number — JO-ANN WHITMAN WHITMAN MED, CCC-A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WHITMAN
Provider First Name:
JO-ANN
Provider Middle Name:
WHITMAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MED, CCC-A
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LANZAFANE
Provider Other First Name:
JO-ANN
Provider Other Middle Name:
WHITMAN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MED, CCC-A
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1649478439
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
848 CENTRAL STREET
Provider Second Line Business Mailing Address:
THE LEARNING CENTER FOR DEAF CHILDREN
Provider Business Mailing Address City Name:
FRAMINGHAM
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-875-4559
Provider Business Mailing Address Fax Number:
508-875-9203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
848 CENTRAL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRAMINGHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-875-4559
Provider Business Practice Location Address Fax Number:
508-875-9203
Provider Enumeration Date:
07/03/2007

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: 231H00000X , with the licence number:  229 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4687881 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1301713 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 602455 . This is a "HARVARD PILGRIM HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: AD0046 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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