1396757357 NPI number — EJL DCH INC

Table of content: (NPI 1396757357)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396757357 NPI number — EJL DCH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EJL DCH INC
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:
6
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:
1396757357
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
202 TURKEYSAG TRL
Provider Second Line Business Mailing Address:
SUITE 5
Provider Business Mailing Address City Name:
PALMYRA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22963-2656
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-591-0900
Provider Business Mailing Address Fax Number:
866-836-8883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
202 TURKEYSAG TRL
Provider Second Line Business Practice Location Address:
SUITE 5
Provider Business Practice Location Address City Name:
PALMYRA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22963-2656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-591-0900
Provider Business Practice Location Address Fax Number:
866-836-8883
Provider Enumeration Date:
08/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
LAUTERBACH
Authorized Official First Name:
EDWARD
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
434-591-0900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  0104001713 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: ANTHEM . This is a "462513" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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