1265787642 NPI number — DR. MAY CHRISTINE JOY SALES ZETA M.D.

Table of content: DR. MAY CHRISTINE JOY SALES ZETA M.D. (NPI 1265787642)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265787642 NPI number — DR. MAY CHRISTINE JOY SALES ZETA M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZETA
Provider First Name:
MAY CHRISTINE JOY
Provider Middle Name:
SALES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1265787642
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/03/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3877
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOLIET
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60434-3877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-714-7171
Provider Business Mailing Address Fax Number:
815-941-1806

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20 PARKWOOD DR STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-4400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-263-7757
Provider Business Practice Location Address Fax Number:
717-263-8376
Provider Enumeration Date:
07/20/2012

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: 207RN0300X , with the licence number:  MD461198 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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