1699051797 NPI number — N.A.O.M.I.

Table of content: (NPI 1699051797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699051797 NPI number — N.A.O.M.I.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
N.A.O.M.I.
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:
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:
1699051797
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 9397
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOLEDO
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43697-9397
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-244-4824
Provider Business Mailing Address Fax Number:
419-244-4825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2321 WARREN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43620-1320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-244-4824
Provider Business Practice Location Address Fax Number:
419-244-4825
Provider Enumeration Date:
11/02/2011

Additional Information

Authorized Official

Authorized Official Last Name:
TISDALE
Authorized Official First Name:
MARGARET
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
419-244-4824

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  13003 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com