1801124060 NPI number — MARGARET CLARK ZAPPITELLO

Table of content: MARGARET CLARK ZAPPITELLO (NPI 1801124060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801124060 NPI number — MARGARET CLARK ZAPPITELLO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZAPPITELLO
Provider First Name:
MARGARET
Provider Middle Name:
CLARK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CLARK
Provider Other First Name:
MARGARET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LPC
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801124060
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36 S 18TH AVE
Provider Second Line Business Mailing Address:
D-3
Provider Business Mailing Address City Name:
BRIGHTON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80601-2412
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
720-685-1700
Provider Business Mailing Address Fax Number:
720-685-8888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 S 18TH AVE
Provider Second Line Business Practice Location Address:
D-3
Provider Business Practice Location Address City Name:
BRIGHTON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80601-2412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-685-1700
Provider Business Practice Location Address Fax Number:
720-685-8888
Provider Enumeration Date:
11/30/2009

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: 101YP2500X , with the licence number:  LPC-2536 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2536 . This is a "CO STATE LICENSE #" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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