1750837381 NPI number — COMPREHENSIVE NEUROLOGICS AND SLEEP

Table of content: MR. WILLIE EDWARD DRAYTON JR. LMSW (NPI 1013690874)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750837381 NPI number — COMPREHENSIVE NEUROLOGICS AND SLEEP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COMPREHENSIVE NEUROLOGICS AND SLEEP
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:
1750837381
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
224 SAINT LANDRY ST
Provider Second Line Business Mailing Address:
SUITE 2B
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70506-3549
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-235-4554
Provider Business Mailing Address Fax Number:
337-235-4556

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
224 SAINT LANDRY ST
Provider Second Line Business Practice Location Address:
SUITE 2B
Provider Business Practice Location Address City Name:
LAFAYETTE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70506-3549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-235-4554
Provider Business Practice Location Address Fax Number:
337-235-4556
Provider Enumeration Date:
09/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
PATIN
Authorized Official First Name:
AL
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
337-289-8951

Provider Taxonomy Codes

  • Taxonomy code: 261QS1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com