1710301049 NPI number — ALTERNATIVE SPEECH AND SWALLOWING SOLUTIONS, INC

Table of content: DR. ROBERT CAREY SIKES DDS (NPI 1831283811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710301049 NPI number — ALTERNATIVE SPEECH AND SWALLOWING SOLUTIONS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALTERNATIVE SPEECH AND SWALLOWING SOLUTIONS, 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:
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:
1710301049
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
285 UPTOWN BLVD, # 409
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALTAMONTE SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32701-3498
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-258-3446
Provider Business Mailing Address Fax Number:
407-951-6188

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
285 UPTOWN BLVD, # 409
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALTAMONTE SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32701-3498
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-258-3446
Provider Business Practice Location Address Fax Number:
407-951-6188
Provider Enumeration Date:
02/06/2014

Additional Information

Authorized Official

Authorized Official Last Name:
PARKER
Authorized Official First Name:
JOLIE
Authorized Official Middle Name:
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
863-258-3446

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SA7772 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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