1881659027 NPI number — DR. NOBORU MURAKAMI MD

Table of content: DR. NOBORU MURAKAMI MD (NPI 1881659027)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881659027 NPI number — DR. NOBORU MURAKAMI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURAKAMI
Provider First Name:
NOBORU
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1881659027
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 310
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LACONIA
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03247-0310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-524-3211
Provider Business Mailing Address Fax Number:
603-527-7038

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15 AIKEN AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03235-1259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-934-5500
Provider Business Practice Location Address Fax Number:
603-934-0333
Provider Enumeration Date:
04/19/2006

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: 208600000X , with the licence number:  NH4961 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174400000X , with the licence number: 4961 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X , with the licence number: 4961 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 81023985 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".