1073549234 NPI number — ARTURO PRESAS D.C.

Table of content: ARTURO PRESAS D.C. (NPI 1073549234)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073549234 NPI number — ARTURO PRESAS D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRESAS
Provider First Name:
ARTURO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1073549234
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5007 SOUTHPARK DR STE 130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27713-7739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-572-2312
Provider Business Mailing Address Fax Number:
919-572-2437

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5007 SOUTHPARK DR STE 130
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27713-7739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-572-2312
Provider Business Practice Location Address Fax Number:
919-572-2437
Provider Enumeration Date:
06/22/2006

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: 111N00000X , with the licence number:  2155 , 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: 5899566 . This is a "GHI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 267901 . This is a "MAMSI" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 8229072001 . This is a "CIGNA" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0832W . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 83428 . This is a "MEDCOST" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 13406 . This is a "DOCTORS HEALTH PLAN" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 5924628 . This is a "AETNA PPO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 890832W , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2047644 . This is a "AETNA HMO" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com