1316029622 NPI number — APPLE THERAPY SERVICES, LLC

Table of content: (NPI 1316029622)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316029622 NPI number — APPLE THERAPY SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPLE THERAPY 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:
APPLE THERAPY OF LONDONDERRY
Provider Other Organization Name Type Code:
5
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:
1316029622
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 KOSCIUSZKO ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03101-1624
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-537-1677
Provider Business Mailing Address Fax Number:
603-537-1676

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 BUTTRICK RD
Provider Second Line Business Practice Location Address:
MEDICAL PARK TWO
Provider Business Practice Location Address City Name:
LONDONDERRY
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03053-3367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-537-1677
Provider Business Practice Location Address Fax Number:
603-537-1676
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BISKOVICH
Authorized Official First Name:
BENJAMIN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
603-537-1677

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  2858 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225100000X , with the licence number: 2856 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225X00000X , with the licence number: 1666 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: AA1641 . This is a "HP GROUP NUMBER" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 210006300 . This is a "ACS PROVIDER NUMBER" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com