1851549406 NPI number — TOWN OF AUBURN

Table of content: AKINGBADE AKINYEMI AKINYELU MD (NPI 1710987763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851549406 NPI number — TOWN OF AUBURN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF AUBURN
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:
1851549406
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 CENTRAL STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUBURN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-832-7703
Provider Business Mailing Address Fax Number:
508-832-7729

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
104 CENTRAL ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUBURN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01501-2343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-832-7703
Provider Business Practice Location Address Fax Number:
508-832-7729
Provider Enumeration Date:
09/08/2008

Additional Information

Authorized Official

Authorized Official Last Name:
PACEK
Authorized Official First Name:
CYNTHIA
Authorized Official Middle Name:
DIANNE
Authorized Official Title or Position:
BOARD OF HEALTH CHAIR
Authorized Official Telephone Number:
508-832-7703

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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