1033475116 NPI number — MEDICAL CAREERS INSTITUTE

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 1033475116 NPI number — MEDICAL CAREERS INSTITUTE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL CAREERS INSTITUTE
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:
1033475116
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5555 GREENWICH ROAD
Provider Second Line Business Mailing Address:
ECPI UNIVERSITY
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23462
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-873-2423
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
555 GREENWICH ROAD
Provider Second Line Business Practice Location Address:
ECPI UNIVERSITY
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23462
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-873-2423
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KI NG
Authorized Official First Name:
TAMARA
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
757-873-2423

Provider Taxonomy Codes

  • Taxonomy code: 276400000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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