1982859872 NPI number — MRS. PAULA J. VETTER NP-C

Table of content: DONNA CANTRELL BHRS (NPI 1831425370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982859872 NPI number — MRS. PAULA J. VETTER NP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VETTER
Provider First Name:
PAULA
Provider Middle Name:
J.
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP-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:
1982859872
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2740 STONEBROOK CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PASO ROBLES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-226-5190
Provider Business Mailing Address Fax Number:
805-226-5191

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1020 PINE STREET
Provider Second Line Business Practice Location Address:
SALUS INTEGRATIVE MEDICINE
Provider Business Practice Location Address City Name:
PASO ROBLES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-226-5190
Provider Business Practice Location Address Fax Number:
805-226-5191
Provider Enumeration Date:
11/19/2008

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: 363LF0000X , with the licence number:  RN-114006 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363L00000X , with the licence number: RN793199;NP20706 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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