1023112703 NPI number — MS. ELIZABETH BISHOP ALACH AP RN BC

Table of content: MS. ELIZABETH BISHOP ALACH AP RN BC (NPI 1023112703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023112703 NPI number — MS. ELIZABETH BISHOP ALACH AP RN BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALACH
Provider First Name:
ELIZABETH
Provider Middle Name:
BISHOP
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
AP RN BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BISHOP
Provider Other First Name:
ELIZABETH
Provider Other Middle Name:
CHENEY
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1023112703
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 OLIVER ST
Provider Second Line Business Mailing Address:
SUITE W1A
Provider Business Mailing Address City Name:
NORTH EASTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02356-1446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-230-1732
Provider Business Mailing Address Fax Number:
508-230-1732

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 OLIVER ST
Provider Second Line Business Practice Location Address:
SUITE W1A
Provider Business Practice Location Address City Name:
NORTH EASTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02356-1446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-230-1732
Provider Business Practice Location Address Fax Number:
508-230-1732
Provider Enumeration Date:
09/12/2006

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: 364SF0001X , with the licence number:  166142 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 255656 . This is a "COMP PSYCH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: TUFTS . This is a "410125" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: CBH217103 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: PN0692 . This is a "BC BS" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 8666-01 . This is a "PACIFIC CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: MA0597673L . This is a "DPH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com