1720250459 NPI number — NANCY LOU SHIPPER BSPT

Table of content: NANCY LOU SHIPPER BSPT (NPI 1720250459)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720250459 NPI number — NANCY LOU SHIPPER BSPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHIPPER
Provider First Name:
NANCY
Provider Middle Name:
LOU
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BSPT
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:
1720250459
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
971 JONES SPRING WEST ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HEDGESVILLE
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
25427
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-268-1401
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
401 SOUTH QUEEN STREET
Provider Second Line Business Practice Location Address:
BERKELEY COUNTY BOARD OF EDUCATION
Provider Business Practice Location Address City Name:
MARTINSBURG
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-267-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/02/2008

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: 225100000X , with the licence number:  150 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0156780000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".