1225324734 NPI number — FUNCTIONAL ADVANTAGE, LLC

Table of content: (NPI 1225324734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225324734 NPI number — FUNCTIONAL ADVANTAGE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FUNCTIONAL ADVANTAGE, LLC
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:
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:
1225324734
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5866 MIDLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FREELAND
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48623-8707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-573-8588
Provider Business Mailing Address Fax Number:
989-573-8589

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5866 MIDLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREELAND
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48623-8707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-579-8588
Provider Business Practice Location Address Fax Number:
989-573-8589
Provider Enumeration Date:
06/22/2011

Additional Information

Authorized Official

Authorized Official Last Name:
SAUER
Authorized Official First Name:
NEIL
Authorized Official Middle Name:
WILLIAM
Authorized Official Title or Position:
PHYSICAL THERAPIST
Authorized Official Telephone Number:
989-714-3183

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  5501012987 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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