1922232602 NPI number — CAROLE KUNKLE-MILLER, PH.D. & ASSOCIATES

Table of content: (NPI 1922232602)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922232602 NPI number — CAROLE KUNKLE-MILLER, PH.D. & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CAROLE KUNKLE-MILLER, PH.D. & ASSOCIATES
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:
CAROLE KUNKLE-MILLER, PH.D.
Provider Other Organization Name Type Code:
4
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:
1922232602
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1720 WASHINGTON RD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15241-1208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-854-4887
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1720 WASHINGTON RD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15241-1208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-854-4887
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KUNKLE-MILLER
Authorized Official First Name:
CAROLE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
412-854-4887

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1326022567 . This is a "FLO VAN CARA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1336286772 . This is a "JANE ACKERMAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1485089 . This is a "BLUE CARD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1588704944 . This is a "CHERYL WINNING-GHINASSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1588837066 . This is a "KATHLEEN RIORDAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 630614 . This is a "HIGHMARK LEGACY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1245484898 . This is a "KATHERINE SCHOTT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1417062480 . This is a "RICK MILLER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1457375784 . This is a "WENDY WEAVER-GRAHAM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1093843393 . This is a "ROSEMARIE PERLA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1649386228 . This is a "CAROLE KUNKLE-MILLER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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