1437272713 NPI number — DR. F MARTIN STREB D.C.

Table of content: DR. F MARTIN STREB D.C. (NPI 1437272713)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437272713 NPI number — DR. F MARTIN STREB D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STREB
Provider First Name:
F MARTIN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
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:
1437272713
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 NARROWS RD
Provider Second Line Business Mailing Address:
SUITE 103B
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01473-1679
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-874-2800
Provider Business Mailing Address Fax Number:
978-874-2888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 NARROWS RD
Provider Second Line Business Practice Location Address:
SUITE 103B
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01473-1679
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-874-2800
Provider Business Practice Location Address Fax Number:
978-874-2888
Provider Enumeration Date:
04/09/2007

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:  2540 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 11456540 . This is a "CAHQ" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 980581 . This is a "NETWOK HEALTH" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: B21189201 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y36765 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 1697030 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 35133 . This is a "HARVARD PILLGRAM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: Y45436 . This is a "NHIC" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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