1073837456 NPI number — MISS THERENCE TAMIKO MARSHALL SR.

Table of content: MISS THERENCE TAMIKO MARSHALL SR. (NPI 1073837456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073837456 NPI number — MISS THERENCE TAMIKO MARSHALL SR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARSHALL
Provider First Name:
THERENCE
Provider Middle Name:
TAMIKO
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
SR.
Provider Credential Text:
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:
1073837456
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 COLLEGE DR
Provider Second Line Business Mailing Address:
UNIT#97
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70808-1861
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-636-7178
Provider Business Mailing Address Fax Number:
225-647-2200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 COLLEGE DR
Provider Second Line Business Practice Location Address:
UNIT#97
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70808-1861
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-636-7178
Provider Business Practice Location Address Fax Number:
225-647-2200
Provider Enumeration Date:
03/15/2010

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: 172V00000X , with the licence number:  07220572 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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