1831336049 NPI number — MARSHALL, WINSLETT, SCHAFFER, DDS, PLLC

Table of content: LINDSAY LARTZ LCPC, LMHC (NPI 1922352798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831336049 NPI number — MARSHALL, WINSLETT, SCHAFFER, DDS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARSHALL, WINSLETT, SCHAFFER, DDS, PLLC
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:
6
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:
1831336049
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/09/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7643 MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28411-9458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-686-9802
Provider Business Mailing Address Fax Number:
910-686-1096

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7643 MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILMINGTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28411-9458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-686-9802
Provider Business Practice Location Address Fax Number:
910-686-1096
Provider Enumeration Date:
01/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MURRAY
Authorized Official First Name:
PHYLLIS
Authorized Official Middle Name:
SIKES
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
910-686-9802

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  1223G0001X , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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