1003055344 NPI number — PULMONARY ASSOCIATES OF MOBILE, PC

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 1003055344 NPI number — PULMONARY ASSOCIATES OF MOBILE, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PULMONARY ASSOCIATES OF MOBILE, PC
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:
1003055344
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 7987
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOBILE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36670-0987
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
251-445-4797
Provider Business Mailing Address Fax Number:
251-633-7367

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
109 MEDICAL PARK DR
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
ANDALUSIA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36420-5323
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
251-445-4797
Provider Business Practice Location Address Fax Number:
251-633-7367
Provider Enumeration Date:
02/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
ZURFLUH
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
ROWEN
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
251-633-0573

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  13922 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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