1417152141 NPI number — DR. ROBERT A L'EUROPA DC,RPT

Table of content: DR. ROBERT A L'EUROPA DC,RPT (NPI 1417152141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1417152141 NPI number — DR. ROBERT A L'EUROPA DC,RPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
L'EUROPA
Provider First Name:
ROBERT
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC,RPT
Provider Gender Code:
M

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:
1417152141
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1528 CRANSTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-5264
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-942-1633
Provider Business Mailing Address Fax Number:
401-942-1671

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1528 CRANSTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CRANSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02920-5264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-942-1633
Provider Business Practice Location Address Fax Number:
401-942-1671
Provider Enumeration Date:
06/21/2007

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:  DC288 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001371 . This is a "TUFTS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 0563544 . This is a "AETNA" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 203494 . This is a "DC" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 21226 . This is a "DC" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 4401379 . This is a "DC" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 5329 . This is a "RPT LICENSE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 27966 . This is a "RPT ," identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 410340 . This is a "RPT" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: AA32129 . This is a "HARVARD PILGRM" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: Y67174 . This is a "DC,RPT" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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