1043377120 NPI number — CHRISTINA ELLA EMDE RILEY L.C.S.W.

Table of content: CHRISTINA ELLA EMDE RILEY L.C.S.W. (NPI 1043377120)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043377120 NPI number — CHRISTINA ELLA EMDE RILEY L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RILEY
Provider First Name:
CHRISTINA
Provider Middle Name:
ELLA EMDE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
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:
1043377120
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
163 E 1025 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VICTOR
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83455-5503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-730-7060
Provider Business Mailing Address Fax Number:
208-787-5683

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
158 N ORTH FIRST EAST STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DRIGGS
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83422
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-730-7060
Provider Business Practice Location Address Fax Number:
208-787-5683
Provider Enumeration Date:
01/02/2007

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: 1041C0700X , with the licence number:  LCSW-26777 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1041C0700X , with the licence number: LCSW-377 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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