1063603199 NPI number — APRIL D LATHBURY L.C.S.W.

Table of content: APRIL D LATHBURY L.C.S.W. (NPI 1063603199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063603199 NPI number — APRIL D LATHBURY L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LATHBURY
Provider First Name:
APRIL
Provider Middle Name:
D
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:
1063603199
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 N RAILROAD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GEORGETOWN
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19947-1242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-856-1734
Provider Business Mailing Address Fax Number:
302-856-9466

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 N RAILROAD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19947-1242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-856-1734
Provider Business Practice Location Address Fax Number:
302-856-9466
Provider Enumeration Date:
08/05/2007

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: 101YA0400X , with the licence number:  Q10000857 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 37761 . This is a "CIGNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0602528 . This is a "AETNA" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 159139 . This is a "BLUE CROSS BLUE SHIELD DE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 174428 . This is a "COMPSYCH" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: A066181 . This is a "VALUE OPTIONS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com