1962641068 NPI number — DR. MEGAN DEPOINT D.C.

Table of content: DR. MEGAN DEPOINT D.C. (NPI 1962641068)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962641068 NPI number — DR. MEGAN DEPOINT D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DEPOINT
Provider First Name:
MEGAN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

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:
1962641068
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2360 STATE ROUTE 89
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SENECA FALLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13148-9425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-568-3166
Provider Business Mailing Address Fax Number:
315-568-3700

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
798 HAUSMAN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18104-9108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-402-9680
Provider Business Practice Location Address Fax Number:
610-402-9681
Provider Enumeration Date:
02/12/2009

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: 111N00000X , with the licence number:  012203 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111N00000X , with the licence number: DC011380 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com