1427033539 NPI number — MR. CURTIS BENJAMIN INABINETT II CERTIFIED

Table of content: MR. CURTIS BENJAMIN INABINETT II CERTIFIED (NPI 1427033539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427033539 NPI number — MR. CURTIS BENJAMIN INABINETT II CERTIFIED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
INABINETT
Provider First Name:
CURTIS
Provider Middle Name:
BENJAMIN
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
II
Provider Credential Text:
CERTIFIED
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOUND
Provider Other First Name:
CARDIAC
Provider Other Middle Name:
IMAGING
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ECHOCARDIOGRAPHER
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427033539
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 188
Provider Second Line Business Mailing Address:
6061 OLD JACKSONBORO ROAD
Provider Business Mailing Address City Name:
RAVENEL
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29470-0188
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
843-889-3949
Provider Business Mailing Address Fax Number:
843-889-8302

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6061 OLD JACKSONBORO RD
Provider Second Line Business Practice Location Address:
POB 188
Provider Business Practice Location Address City Name:
RAVENEL
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29470-5286
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-889-3949
Provider Business Practice Location Address Fax Number:
843-889-8302
Provider Enumeration Date:
12/12/2005

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: 246XS1301X , with the licence number:  CERTIFICATION , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: SL0013 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".




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