1861789943 NPI number — MRS. CHERYL CAPULI BROWN SURGICAL TECHNICIAN

Table of content: MRS. CHERYL CAPULI BROWN SURGICAL TECHNICIAN (NPI 1861789943)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861789943 NPI number — MRS. CHERYL CAPULI BROWN SURGICAL TECHNICIAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
CHERYL
Provider Middle Name:
CAPULI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SURGICAL TECHNICIAN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAPULI
Provider Other First Name:
CHERYL
Provider Other Middle Name:
MONTEMAYOR
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
SURGICAL TECHNICIAN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861789943
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CMR 402 BOX 432
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09180-0005
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-449-7380
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CMR 402 BOX 432
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09180-0005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-449-7380
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/08/2011

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: 247200000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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