1124420070 NPI number — MISS CHONTAYE MICHELLE RICHARDSON

Table of content: MISS CHONTAYE MICHELLE RICHARDSON (NPI 1124420070)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1124420070 NPI number — MISS CHONTAYE MICHELLE RICHARDSON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICHARDSON
Provider First Name:
CHONTAYE
Provider Middle Name:
MICHELLE
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:
1124420070
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16803 SILVERSWORD DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28213-4883
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-833-1198
Provider Business Mailing Address Fax Number:
980-833-1198

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16803 SILVERSWORD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28213-4883
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-833-1198
Provider Business Practice Location Address Fax Number:
980-833-1198
Provider Enumeration Date:
09/23/2014

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: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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