1720084189 NPI number — MRS. DIXIE BARKAND MS, CCC

Table of content: MRS. DIXIE BARKAND MS, CCC (NPI 1720084189)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720084189 NPI number — MRS. DIXIE BARKAND MS, CCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BARKAND
Provider First Name:
DIXIE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS, CCC
Provider Gender Code:
F

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:
1720084189
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2770 MAYBANK HWY
Provider Second Line Business Mailing Address:
STE E
Provider Business Mailing Address City Name:
JOHNS ISLAND
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29455-4857
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-559-7599
Provider Business Mailing Address Fax Number:
843-559-1381

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2770 MAYBANK HWY
Provider Second Line Business Practice Location Address:
STE E
Provider Business Practice Location Address City Name:
JOHNS ISLAND
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29455-4857
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-559-7599
Provider Business Practice Location Address Fax Number:
843-559-1381
Provider Enumeration Date:
06/21/2005

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: 235Z00000X , with the licence number:  3274 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: SAO517 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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