1316686827 NPI number — MITREASE PLUNKETT DBA PRECISIONPATH,LLC

Table of content: MITREASE PLUNKETT DBA PRECISIONPATH,LLC (NPI 1316686827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316686827 NPI number — MITREASE PLUNKETT DBA PRECISIONPATH,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PLUNKETT DBA PRECISIONPATH,LLC
Provider First Name:
MITREASE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1316686827
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 SQUIRREL HILL DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIDGELAND
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39157-4025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-590-6674
Provider Business Mailing Address Fax Number:
662-590-6674

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 SQUIRREL DRIVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIDGELAND
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39157-3915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-590-6674
Provider Business Practice Location Address Fax Number:
662-590-6674
Provider Enumeration Date:
06/02/2022

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: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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