1316140833 NPI number — PATRICE GENEVIEVE KRUSZEWSKI D.O.

Table of content: PATRICE GENEVIEVE KRUSZEWSKI D.O. (NPI 1316140833)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316140833 NPI number — PATRICE GENEVIEVE KRUSZEWSKI D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRUSZEWSKI
Provider First Name:
PATRICE
Provider Middle Name:
GENEVIEVE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
D.O.
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:
1316140833
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
700 CHILDREN'S DRIVE
Provider Second Line Business Mailing Address:
NATIONWIDE CHILDREN'S HOSPITAL
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-722-2000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 CHILDREN'S DR
Provider Second Line Business Practice Location Address:
NATIONWIDE CHILDRENS HOSPITAL
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-722-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/11/2007

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: 208000000X , with the licence number:  C7-0003834 , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 208000000X , with the licence number: OT011580 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 010251 . This is a "PEDIATRICS" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: C7-0003834 . This is a "PEDIATRICS" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: OT011580 . This is a "OSTEOPATHIC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com