1447334792 NPI number — DR. ALBERT K HARVEY D.O.

Table of content: DR. ALBERT K HARVEY D.O. (NPI 1447334792)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447334792 NPI number — DR. ALBERT K HARVEY D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARVEY
Provider First Name:
ALBERT
Provider Middle Name:
K
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
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:
1447334792
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
937 SW 89TH ST
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
OKLAHOMA CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73139-9231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-631-2379
Provider Business Mailing Address Fax Number:
405-631-3377

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
937 SW 89TH ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73139-9231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-631-2379
Provider Business Practice Location Address Fax Number:
405-631-3377
Provider Enumeration Date:
10/24/2006

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: 208000000X , with the licence number:  01973 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2080A0000X , with the licence number: 01973 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 731126748-001 . This is a "BCBS PROVIDER ID" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".
  • Identifier: 100060790A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01973 . This is a "STATE LISCENCE" identifier , issued by the state of ( OK ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com