1013428580 NPI number — LARRY DELL TURNER CERTIFIED LIFE COACH

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 1013428580 NPI number — LARRY DELL TURNER CERTIFIED LIFE COACH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURNER
Provider First Name:
LARRY
Provider Middle Name:
DELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED LIFE COACH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TURNER
Provider Other First Name:
LARRY
Provider Other Middle Name:
D
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
USAR COLONEL RETIRED
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1013428580
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 240672
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MONTGOMERY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36124-0672
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-301-1999
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
600 S COURT ST STE 312
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONTGOMERY
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36104-4106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-301-1999
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2017

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: 174400000X , with the licence number:  3167621 , 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)





Copyright © 2007-2025 www.npivalidator.com