1205930799 NPI number — NANCY G KAHN MSW

Table of content: NANCY G KAHN MSW (NPI 1205930799)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205930799 NPI number — NANCY G KAHN MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAHN
Provider First Name:
NANCY
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSW
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:
1205930799
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 653
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANAAN
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06018-0653
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-824-1350
Provider Business Mailing Address Fax Number:
413-229-3334

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
117 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANAAN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06018-2463
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-824-1350
Provider Business Practice Location Address Fax Number:
413-229-3334
Provider Enumeration Date:
09/12/2006

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: 101YM0800X , with the licence number:  003389 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YM0800X , with the licence number: 1023143 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





Copyright © 2007-2025 www.npivalidator.com