1932227584 NPI number — MR. FRANCIS T ADDRISI PHD

Table of content: (NPI 1871255166)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932227584 NPI number — MR. FRANCIS T ADDRISI PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADDRISI
Provider First Name:
FRANCIS
Provider Middle Name:
T
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
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:
1932227584
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/12/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 HORIZON DR
Provider Second Line Business Mailing Address:
STE 25
Provider Business Mailing Address City Name:
GRAND JUNCTION
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81506-8700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-683-7107
Provider Business Mailing Address Fax Number:
970-683-7167

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
267 6TH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEEKER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81641
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-878-5112
Provider Business Practice Location Address Fax Number:
970-878-4315
Provider Enumeration Date:
03/26/2007

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: 103TC0700X , with the licence number:  1164 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 103TC0700X , with the licence number: 400 , registered in the state of AK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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