1972611804 NPI number — DR. H. PATS NEUROLOGICAL TESTING, CHARTERED

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972611804 NPI number — DR. H. PATS NEUROLOGICAL TESTING, CHARTERED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. H. PATS NEUROLOGICAL TESTING, CHARTERED
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:
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:
1972611804
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/27/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 COLGATE DR
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
FOREST HILL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21050-2624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-836-9000
Provider Business Mailing Address Fax Number:
410-879-0808

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 COLGATE DR
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
FOREST HILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21050-2624
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-836-9000
Provider Business Practice Location Address Fax Number:
410-879-0808
Provider Enumeration Date:
08/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PATS
Authorized Official First Name:
HARVEY
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
410-917-1800

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  D19238 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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