1154556116 NPI number — LINDA ANN TOWNSEND M. S., L.P.C.

Table of content: LINDA ANN TOWNSEND M. S., L.P.C. (NPI 1154556116)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154556116 NPI number — LINDA ANN TOWNSEND M. S., L.P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TOWNSEND
Provider First Name:
LINDA
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M. S., L.P.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TOWNSEND
Provider Other First Name:
LINANN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.S., L.P.C.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1154556116
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 E BROADWAY
Provider Second Line Business Mailing Address:
SUITE 317
Provider Business Mailing Address City Name:
COLUMBIA
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
65201-6082
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
573-443-7091
Provider Business Mailing Address Fax Number:
573-693-4190

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 E BROADWAY
Provider Second Line Business Practice Location Address:
SUITE 317
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65201-6082
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-443-7091
Provider Business Practice Location Address Fax Number:
573-693-4190
Provider Enumeration Date:
05/20/2009

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: 101YM0800X , with the licence number:  2004031524 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 2004031524 , 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)





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