1780661231 NPI number — MRS. JENNIFER JOY PROPST M.S., C.G.C.

Table of content: MRS. JENNIFER JOY PROPST M.S., C.G.C. (NPI 1780661231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780661231 NPI number — MRS. JENNIFER JOY PROPST M.S., C.G.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PROPST
Provider First Name:
JENNIFER
Provider Middle Name:
JOY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S., C.G.C.
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:
1780661231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 980033
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23298-0033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-628-3510
Provider Business Mailing Address Fax Number:
804-828-7094

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1101 EAST MARSHALL STREET
Provider Second Line Business Practice Location Address:
SANGAR HALL, 11TH FLOOR RM11-032
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23298
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-628-3510
Provider Business Practice Location Address Fax Number:
804-828-7094
Provider Enumeration Date:
12/27/2005

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: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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