1134355340 NPI number — DR. DANIEL EDWARD LAUGHLIN DPT

Table of content: RICHARD J COUTURE MA LCSW (NPI 1417960527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134355340 NPI number — DR. DANIEL EDWARD LAUGHLIN DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAUGHLIN
Provider First Name:
DANIEL
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPT
Provider Gender Code:
M

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:
1134355340
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/19/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6501 W 101ST TER
Provider Second Line Business Mailing Address:
9506 NALL AVENUE
Provider Business Mailing Address City Name:
OVERLAND PARK
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66212-1715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-642-4900
Provider Business Mailing Address Fax Number:
913-381-0979

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6501 W 101ST TER
Provider Second Line Business Practice Location Address:
9506 NALL AVENUE
Provider Business Practice Location Address City Name:
OVERLAND PARK
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66212-1715
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-642-4900
Provider Business Practice Location Address Fax Number:
913-381-0979
Provider Enumeration Date:
06/02/2009

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: 2251X0800X , with the licence number:  2009021414 , 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