1861838096 NPI number — MR. MERLEN TAFFER SENSENDERFER C.M.T.

Table of content: MR. MERLEN TAFFER SENSENDERFER C.M.T. (NPI 1861838096)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861838096 NPI number — MR. MERLEN TAFFER SENSENDERFER C.M.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SENSENDERFER
Provider First Name:
MERLEN
Provider Middle Name:
TAFFER
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
C.M.T.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TOFERO
Provider Other First Name:
CRISTIANO
Provider Other Middle Name:
MICAL
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
C.M.T.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861838096
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2120 MARKET ST
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94114-1376
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-213-1247
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2120 MARKET ST
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94114-1376
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-213-1247
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2013

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: 225700000X , 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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