1093040859 NPI number — MRS. CARRIE ANN NEIMAN PT

Table of content: MRS. CARRIE ANN NEIMAN PT (NPI 1093040859)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093040859 NPI number — MRS. CARRIE ANN NEIMAN PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEIMAN
Provider First Name:
CARRIE
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHARL
Provider Other First Name:
CARRIE
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1093040859
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 JACOBS LADDER
Provider Second Line Business Mailing Address:
DARMA, LLC (CENTER FOR PERFECT BALANCE)
Provider Business Mailing Address City Name:
PISGAH FOREST
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28768
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-966-9036
Provider Business Mailing Address Fax Number:
828-966-4538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
245 ROSMAN HWY
Provider Second Line Business Practice Location Address:
DARMA, LLC (CENTER FOR PERFECT BALANCE)
Provider Business Practice Location Address City Name:
BREVARD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-966-9036
Provider Business Practice Location Address Fax Number:
828-966-4538
Provider Enumeration Date:
10/13/2009

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: 225100000X , with the licence number:  12233 , 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)