1407277296 NPI number — INTERNATIONAL REHABILITATIVE SCIENCES INC.

Table of content: (NPI 1407277296)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407277296 NPI number — INTERNATIONAL REHABILITATIVE SCIENCES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERNATIONAL REHABILITATIVE SCIENCES 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:
1407277296
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14001 SE 1ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98684-3513
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-683-0353
Provider Business Mailing Address Fax Number:
800-929-1930

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4100 W KENNEDY BLVD
Provider Second Line Business Practice Location Address:
STE 208
Provider Business Practice Location Address City Name:
TAMPA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33609-2288
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-347-1249
Provider Business Practice Location Address Fax Number:
800-929-1930
Provider Enumeration Date:
12/20/2013

Additional Information

Authorized Official

Authorized Official Last Name:
KUZIS
Authorized Official First Name:
KARL
Authorized Official Middle Name:
Authorized Official Title or Position:
VP - MEDICAL AND CLINICAL AFFAIRS
Authorized Official Telephone Number:
800-683-0353

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  601224105 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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