1245348234 NPI number — MRS. MARGARET FRANCINE PAYNE-MURPHY

Table of content: MRS. MARGARET FRANCINE PAYNE-MURPHY (NPI 1245348234)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245348234 NPI number — MRS. MARGARET FRANCINE PAYNE-MURPHY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAYNE-MURPHY
Provider First Name:
MARGARET
Provider Middle Name:
FRANCINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
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:
1245348234
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3140 APRON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATWATER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95301-5103
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-356-3736
Provider Business Mailing Address Fax Number:
209-385-3738

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3140 APRON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATWATER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95301-5103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-356-3736
Provider Business Practice Location Address Fax Number:
209-385-3738
Provider Enumeration Date:
08/29/2006

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: 225100000X , with the licence number:  9526 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com