1710113501 NPI number — NEETU RISHIRAJ ATC, PHD CANDIDATE

Table of content: NEETU RISHIRAJ ATC, PHD CANDIDATE (NPI 1710113501)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710113501 NPI number — NEETU RISHIRAJ ATC, PHD CANDIDATE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RISHIRAJ
Provider First Name:
NEETU
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ATC, PHD CANDIDATE
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:
1710113501
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ACTIN HEALTH AND REHABILITATION INC.
Provider Second Line Business Mailing Address:
5767 OAK STREET
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
BRITISH COLUMBIA
Provider Business Mailing Address Postal Code:
V6M2V7
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
16042443614
Provider Business Mailing Address Fax Number:
16042630477

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ACTIN HEALTH AND REHABILITATION INC.
Provider Second Line Business Practice Location Address:
5767 OAK STREET
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
BRITISH COLUMBIA
Provider Business Practice Location Address Postal Code:
V6M2V7
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
16042443614
Provider Business Practice Location Address Fax Number:
16042630477
Provider Enumeration Date:
06/07/2009

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)





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