1952917536 NPI number — REBECCA GREENWELL LAC, MACOM

Table of content: REBECCA GREENWELL LAC, MACOM (NPI 1952917536)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952917536 NPI number — REBECCA GREENWELL LAC, MACOM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GREENWELL
Provider First Name:
REBECCA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LAC, MACOM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GREENWELL
Provider Other First Name:
BEX
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LAC, MACOM
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952917536
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9450 W FAIRVIEW AVE STE 120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOISE
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83704-8179
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-292-1374
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9450 W FAIRVIEW AVE STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOISE
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83704-8179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-292-1374
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/19/2020

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: 171100000X , with the licence number:  ACU380 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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