1881209476 NPI number — CHRIS J BIRTWELL

Table of content: CHRIS J BIRTWELL (NPI 1881209476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881209476 NPI number — CHRIS J BIRTWELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIRTWELL
Provider First Name:
CHRIS
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1881209476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/10/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
450 EDISON WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89502-4117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-858-5700
Provider Business Mailing Address Fax Number:
775-353-0892

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 EDISON WAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89502-4117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-858-5700
Provider Business Practice Location Address Fax Number:
775-353-0892
Provider Enumeration Date:
09/10/2020

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: 146L00000X , with the licence number:  73672 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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