1144240060 NPI number — NORMAN L BISHOP D.C.

Table of content: NORMAN L BISHOP D.C. (NPI 1144240060)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144240060 NPI number — NORMAN L BISHOP D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BISHOP
Provider First Name:
NORMAN
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1144240060
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8988 UNIVERSITY BLVD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
NORTH CHARLESTON
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29406-9183
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-764-3663
Provider Business Mailing Address Fax Number:
843-764-3664

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8988 UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
NORTH CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29406-9183
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-764-3663
Provider Business Practice Location Address Fax Number:
843-764-3664
Provider Enumeration Date:
07/21/2006

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: 111N00000X , with the licence number:  1098 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CH1098 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 570853724 . This is a "TAX IDENTIFICATION NUMBER" identifier , issued by the state of ( SC ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com