1366812117 NPI number — ADVANCED DUI SCHOOL & COUNSELING

Table of content: (NPI 1366812117)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366812117 NPI number — ADVANCED DUI SCHOOL & COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADVANCED DUI SCHOOL & COUNSELING
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:
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:
1366812117
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 BIBLE WAY SUITE 66
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-378-3735
Provider Business Mailing Address Fax Number:
775-348-2762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 BIBLE WAY STE 66
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89502-2134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-378-3735
Provider Business Practice Location Address Fax Number:
775-348-2762
Provider Enumeration Date:
10/05/2015

Additional Information

Authorized Official

Authorized Official Last Name:
YASMER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
DEAN
Authorized Official Title or Position:
OWNER/COUNSELOR
Authorized Official Telephone Number:
775-378-7535

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  01539-I , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com