1083823991 NPI number — FUNCTIONAL ERGONOMICS, INC.

Table of content: DR. LAURA FRANCIS LEWIS MD (NPI 1700678562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083823991 NPI number — FUNCTIONAL ERGONOMICS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FUNCTIONAL ERGONOMICS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1083823991
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/11/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9530 HAGEMAN RD
Provider Second Line Business Mailing Address:
SUITE B, #291
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93312-3959
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-303-3474
Provider Business Mailing Address Fax Number:
661-328-0791

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4200 TRUXTUN AVE
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93309-0694
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-328-0692
Provider Business Practice Location Address Fax Number:
661-328-0791
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TRAUT
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
661-303-3474

Provider Taxonomy Codes

  • Taxonomy code: 226300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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