1174622948 NPI number — DR. ELISABETH N KULCSAR PHD

Table of content: DR. ELISABETH N KULCSAR PHD (NPI 1174622948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174622948 NPI number — DR. ELISABETH N KULCSAR PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KULCSAR
Provider First Name:
ELISABETH
Provider Middle Name:
N
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
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:
1174622948
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT. OF THE ARMY, ANSBACH GARRISON, BEHAVIORAL HEALTH
Provider Second Line Business Mailing Address:
UNIT 28614
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09177-8614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
01149981183
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CMR 454
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
011491528628
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/21/2006

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: 103TC0700X , with the licence number:  PS00951 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 412296 . This is a "EI BCHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 2092 . This is a "EI NHPRC" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 6400144 . This is a "EI UHP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 292177 . This is a "EI BLUE CROSS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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