1265888226 NPI number — PRUDENCE PROFESSIONAL SERVICES, LLC

Table of content: (NPI 1265888226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265888226 NPI number — PRUDENCE PROFESSIONAL SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRUDENCE PROFESSIONAL SERVICES, 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:
1265888226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/09/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3034 BOONE AVE N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW HOPE
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55427-2419
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-701-3202
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3034 BOONE AVE N
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW HOPE
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55427-2419
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-701-3202
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/09/2016

Additional Information

Authorized Official

Authorized Official Last Name:
ALLEN-FAHNBULLEH
Authorized Official First Name:
NIKET
Authorized Official Middle Name:
NNEKA
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
612-701-3202

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  880516800033 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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