1346353653 NPI number — DR. ZYGMUNT M MAJEWSKI DC

Table of content: DR. ZYGMUNT M MAJEWSKI DC (NPI 1346353653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346353653 NPI number — DR. ZYGMUNT M MAJEWSKI DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAJEWSKI
Provider First Name:
ZYGMUNT
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

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:
1346353653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/27/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 S RHODES
Provider Second Line Business Mailing Address:
SUITE E
Provider Business Mailing Address City Name:
WEST MEMPHIS
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-735-3600
Provider Business Mailing Address Fax Number:
870-735-3898

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 S RHODES
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
WEST MEMPHIS
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-735-3600
Provider Business Practice Location Address Fax Number:
870-735-3898
Provider Enumeration Date:
08/17/2006

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: 111N00000X , with the licence number:  1539 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 154503718 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com