1780812388 NPI number — PERSPECTIVES CORPORATION

Table of content: (NPI 1780812388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780812388 NPI number — PERSPECTIVES CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERSPECTIVES CORPORATION
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:
1780812388
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1130 TEN ROD RD
Provider Second Line Business Mailing Address:
BUILDING B - SUITE 101
Provider Business Mailing Address City Name:
NORTH KINGSTOWN
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02852-4161
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-294-3990
Provider Business Mailing Address Fax Number:
401-294-9879

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1130 TEN ROD RD
Provider Second Line Business Practice Location Address:
BUILDING B - SUITE 201
Provider Business Practice Location Address City Name:
NORTH KINGSTOWN
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02852-4161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-294-8181
Provider Business Practice Location Address Fax Number:
401-294-7773
Provider Enumeration Date:
06/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RUPPELL
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
C.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
401-294-3990

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: PC76850 . This is a "PROVIDER NUMBER" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".