1134315591 NPI number — MRS. CATHERINE MONTANO ALIPALA OTRL

Table of content: MRS. CATHERINE MONTANO ALIPALA OTRL (NPI 1134315591)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134315591 NPI number — MRS. CATHERINE MONTANO ALIPALA OTRL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALIPALA
Provider First Name:
CATHERINE
Provider Middle Name:
MONTANO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OTRL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MONTANO
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
YEE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
OTRL
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1134315591
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 K-LAND DRIVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSON
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63755
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-243-8989
Provider Business Mailing Address Fax Number:
573-243-5628

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 K-LAND DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63755
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-243-8989
Provider Business Practice Location Address Fax Number:
573-243-5628
Provider Enumeration Date:
09/19/2007

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: 225X00000X , with the licence number:  2001021470 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com