1821019779 NPI number — ARRIGG ASSOCIATES , P.C.

Table of content: (NPI 1821019779)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821019779 NPI number — ARRIGG ASSOCIATES , P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARRIGG ASSOCIATES , P.C.
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:
ARRIGG EYE AND EAR ASSOCIATES
Provider Other Organization Name Type Code:
3
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:
1821019779
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
439 S UNION ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWRENCE
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01843-2837
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-686-2983
Provider Business Mailing Address Fax Number:
978-686-0684

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
439 S UNION ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01843-2837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-686-2983
Provider Business Practice Location Address Fax Number:
978-686-0684
Provider Enumeration Date:
07/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRANT
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
978-686-2983

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 20386 . This is a "FALLON COMMUNITY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: I449 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 9727906 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 706077 . This is a "TUFTS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M14153 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: CB4244 . This is a "RR MEDICARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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