1730378753 NPI number — NICOLE CHRISTINE GEIGER CASE MANAGER

Table of content: NICOLE CHRISTINE GEIGER CASE MANAGER (NPI 1730378753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730378753 NPI number — NICOLE CHRISTINE GEIGER CASE MANAGER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GEIGER
Provider First Name:
NICOLE
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CASE MANAGER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FRIGEL
Provider Other First Name:
NICOLE
Provider Other Middle Name:
CHRISTINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CASE MANAGER
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730378753
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1290 GOLFVIEW AVE
Provider Second Line Business Mailing Address:
ATTN: BILLING DEPT
Provider Business Mailing Address City Name:
BARTOW
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33830-6703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-519-7900
Provider Business Mailing Address Fax Number:
863-519-7696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1255 BRICE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BARTOW
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33830-6735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-519-8233
Provider Business Practice Location Address Fax Number:
863-519-8304
Provider Enumeration Date:
10/16/2007

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: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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