1447262951 NPI number — APRIL BUCHANAN CAIN LMSW CONDITIONAL

Table of content: DAVID GORO (NPI 1316590565)

General
Organization/Personal Information
Provider's Other Name Information
NPI Number Information
Provider's Business Mailing Address
Provider's Practice Location Mailing Address
Additional Information
Authorized Official
Provider Taxonomy Codes
Other Provider's Identifiers (legacy, non-NPI)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447262951 NPI number — APRIL BUCHANAN CAIN LMSW CONDITIONAL

Organization/Personal Information

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:
BUCHANAN CAIN

Provider First Name:
APRIL

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:
LMSW CONDITIONAL

Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:
BUCHANAN

Provider Other First Name:
APRIL

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447262951

Entity Type Code:
Individual

Replacement NPI:

Last Update Date:
05/09/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7 HOLLAND WAY FL 1

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:
EXETER

Provider Business Mailing Address State Name:
NH

Provider Business Mailing Address Postal Code:
03833-2997

Provider Business Mailing Address Country Code:
US

Provider Business Mailing Address Telephone Number:
603-775-0000

Provider Business Mailing Address Fax Number:
603-775-0247

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 HAMPTON RD BLDG 3

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:
EXETER

Provider Business Practice Location Address State Name:
NH

Provider Business Practice Location Address Postal Code:
03833-4831

Provider Business Practice Location Address Country Code:
US

Provider Business Practice Location Address Telephone Number:
603-775-0000

Provider Business Practice Location Address Fax Number:
603-775-0247

Provider Enumeration Date:
08/13/2006

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: 1041C0700X , with the licence number: 2970 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .