1104396431 NPI number — MISS SABRINA KATHLENE BRACKETT

Table of content: MISS SABRINA KATHLENE BRACKETT (NPI 1104396431)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104396431 NPI number — MISS SABRINA KATHLENE BRACKETT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRACKETT
Provider First Name:
SABRINA
Provider Middle Name:
KATHLENE
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
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:
1104396431
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1498 BOANERGES CHURCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLD FORT
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37362-7028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-457-0639
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1498 BOANERGES CHURCH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLD FORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37362-7028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-457-0639
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2018

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: 246RM2200X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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