1265738082 NPI number — MR. RICHARD EGAN ARTICHOKER PHYSICAL THERAPIST

Table of content: MR. RICHARD EGAN ARTICHOKER PHYSICAL THERAPIST (NPI 1265738082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265738082 NPI number — MR. RICHARD EGAN ARTICHOKER PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARTICHOKER
Provider First Name:
RICHARD
Provider Middle Name:
EGAN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
M

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:
1265738082
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 400
Provider Second Line Business Mailing Address:
PHS INDIAN HOSPITAL
Provider Business Mailing Address City Name:
ROSEBUD
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57570-0400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-747-2231
Provider Business Mailing Address Fax Number:
605-747-5348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 SOLDIER CREEK ROAD
Provider Second Line Business Practice Location Address:
PHS INDIAN HOSPITAL
Provider Business Practice Location Address City Name:
ROSEBUD
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57570-0400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-747-2231
Provider Business Practice Location Address Fax Number:
605-747-5348
Provider Enumeration Date:
01/27/2011

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:  1273 , registered in the state of SD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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