1033511977 NPI number — JOHN CURTIS MAY

Table of content: JOHN CURTIS MAY (NPI 1033511977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033511977 NPI number — JOHN CURTIS MAY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAY
Provider First Name:
JOHN
Provider Middle Name:
CURTIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1033511977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
500 LAUREL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALUDA
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28773-8729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-495-2737
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
500 LAUREL DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALUDA
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28773-8729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-495-2737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/23/2014

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: 171M00000X , with the licence number:  7609001 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 12401A , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0100006 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com