1649675901 NPI number — ANTHONY VINCENT GEIGER JR. ATC

Table of content: ANTHONY VINCENT GEIGER JR. ATC (NPI 1649675901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649675901 NPI number — ANTHONY VINCENT GEIGER JR. ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEIGER
Provider First Name:
ANTHONY
Provider Middle Name:
VINCENT
Provider Name Prefix Text:
Provider Name Suffix Text:
JR.
Provider Credential Text:
ATC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
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:
1649675901
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 303
Provider Second Line Business Mailing Address:
175 S. 3RD STREET
Provider Business Mailing Address City Name:
SHANDON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93461-0303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-546-3225
Provider Business Mailing Address Fax Number:
805-463-3158

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7400, HIGHWAY ONE
Provider Second Line Business Practice Location Address:
SHIPPING/RECEIVING, BUILDING
Provider Business Practice Location Address City Name:
SAN LUIS OBISPO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93405-8106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-546-3225
Provider Business Practice Location Address Fax Number:
805-564-3158
Provider Enumeration Date:
10/29/2014

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: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com