1275960130 NPI number — SENEGAL ENTERPRISES MEDICAL, INC

Table of content: (NPI 1275960130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275960130 NPI number — SENEGAL ENTERPRISES MEDICAL, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SENEGAL ENTERPRISES MEDICAL, INC
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:
6
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:
1275960130
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/30/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3342 BRAMANTI TRL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STEGER
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60475-6113
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
563-340-1602
Provider Business Mailing Address Fax Number:
708-757-3692

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3330 181ST PLACE, SUITE 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60438
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
563-340-1602
Provider Business Practice Location Address Fax Number:
708-757-3692
Provider Enumeration Date:
10/08/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SENEGAL
Authorized Official First Name:
MJ
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
563-340-1602

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  203.001596 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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