1447296439 NPI number — KRISTAL CORPORATION

Table of content: (NPI 1447296439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447296439 NPI number — KRISTAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KRISTAL CORPORATION
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:
1447296439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1629
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHANDLER
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85244-1629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-726-0361
Provider Business Mailing Address Fax Number:
480-726-0363

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2160 N ALMA SCHOOL RD
Provider Second Line Business Practice Location Address:
SUITE 108
Provider Business Practice Location Address City Name:
CHANDLER
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85224-2487
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-726-0361
Provider Business Practice Location Address Fax Number:
480-726-0363
Provider Enumeration Date:
06/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PAREL
Authorized Official First Name:
OSCAR
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
480-726-0361

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  5450770001 , 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)





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