1023526415 NPI number — MS. MARGARET ELLEN BROWN MA EDUCATION

Table of content: MS. MARGARET ELLEN BROWN MA EDUCATION (NPI 1023526415)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023526415 NPI number — MS. MARGARET ELLEN BROWN MA EDUCATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
MARGARET
Provider Middle Name:
ELLEN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA EDUCATION
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:
1023526415
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/19/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13 COATES RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEYDEN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01301-9414
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-522-9276
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
228 KING ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHAMPTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01060-2364
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-727-8552
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2018

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: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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