1376902478 NPI number — TWILIGHT CONSULTING & MANAGEMENT

Table of content: DEBRA BABER NP (NPI 1457339749)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376902478 NPI number — TWILIGHT CONSULTING & MANAGEMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TWILIGHT CONSULTING & MANAGEMENT
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:
1376902478
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/20/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 18666
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27419-8666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-246-1591
Provider Business Mailing Address Fax Number:
770-701-6718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 CORDER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARNER ROBINS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31088-3604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
478-923-5872
Provider Business Practice Location Address Fax Number:
336-553-3994
Provider Enumeration Date:
02/17/2016

Additional Information

Authorized Official

Authorized Official Last Name:
BOWYER
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
Authorized Official Title or Position:
CREDENTIALING SPECIALIST
Authorized Official Telephone Number:
240-566-1603

Provider Taxonomy Codes

  • Taxonomy code: 367500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 202G70720 . This is a "MEDICARE" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com