1386769347 NPI number — DR. BARBARA CHRISTINE PIKE-ARMBRUST BPHE, DC

Table of content: DR. BARBARA CHRISTINE PIKE-ARMBRUST BPHE, DC (NPI 1386769347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386769347 NPI number — DR. BARBARA CHRISTINE PIKE-ARMBRUST BPHE, DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PIKE-ARMBRUST
Provider First Name:
BARBARA
Provider Middle Name:
CHRISTINE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
BPHE, DC
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:
1386769347
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1368 LINCOLN AVE
Provider Second Line Business Mailing Address:
STE. 109
Provider Business Mailing Address City Name:
SAN RAFAEL
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94901-2147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-454-4325
Provider Business Mailing Address Fax Number:
415-454-5440

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1368 LINCOLN AVE
Provider Second Line Business Practice Location Address:
STE 109
Provider Business Practice Location Address City Name:
SAN RAFAEL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94901-2122
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-454-4325
Provider Business Practice Location Address Fax Number:
415-454-5440
Provider Enumeration Date:
03/20/2007

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: 111N00000X , with the licence number:  DC25367 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: DC25367 . This is a "STATE LICENSE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com