1770619611 NPI number — THE PARTHENON CO., INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770619611 NPI number — THE PARTHENON CO., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PARTHENON CO., 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:
1770619611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3311 W 2400 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALT LAKE CITY
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84119-1103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
801-072-5184
Provider Business Mailing Address Fax Number:
801-972-4734

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3311 W 2400 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84119-1103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-072-5184
Provider Business Practice Location Address Fax Number:
801-972-4734
Provider Enumeration Date:
02/26/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MIHALOPOULOS
Authorized Official First Name:
NICHOLAS
Authorized Official Middle Name:
GEORGE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
801-972-5184

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  B24577 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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