1003940354 NPI number — SOUTHERN TIER ARTHRITIS & RHEUMATISM PC

Table of content: (NPI 1003940354)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003940354 NPI number — SOUTHERN TIER ARTHRITIS & RHEUMATISM PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOUTHERN TIER ARTHRITIS & RHEUMATISM 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:
1003940354
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
415 N 8TH ST
Provider Second Line Business Mailing Address:
P.O. BOX 1208
Provider Business Mailing Address City Name:
OLEAN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14760-6208
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-372-9399
Provider Business Mailing Address Fax Number:
716-373-5530

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
415 N 8TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLEAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14760-2237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-372-9399
Provider Business Practice Location Address Fax Number:
716-373-5530
Provider Enumeration Date:
03/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
VANDEWALL
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
716-372-9399

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X , with the licence number:  195467-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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