1215118039 NPI number — N.J. NSAHAAS INC.

Table of content: (NPI 1215118039)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215118039 NPI number — N.J. NSAHAAS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
N.J. NSAHAAS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
STRATEGIC ORTHOPEDIC & ATHLETIC PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
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:
1215118039
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1238 WILLARTZ AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EGG HARBOR CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08215-4344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-703-3997
Provider Business Mailing Address Fax Number:
609-965-8014

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1238 WILLARTZ AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EGG HARBOR CITY
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08215-4344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-703-3997
Provider Business Practice Location Address Fax Number:
609-965-8014
Provider Enumeration Date:
11/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAAS
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
609-965-8918

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2251E1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251E1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251G0304X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251H1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251P0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251S0007X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2251X0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XE1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XH1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XP0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XR0403X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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