1447857610 NPI number — TITAN SENQUEST MANAGMENT, INC.

Table of content: MEREDITH ALLEN KOEHNLEIN APRN (NPI 1083330856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447857610 NPI number — TITAN SENQUEST MANAGMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TITAN SENQUEST MANAGMENT, INC.
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:
1447857610
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2301 ROSECRANS AVE STE 4170
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL SEGUNDO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90245-4966
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-725-0120
Provider Business Mailing Address Fax Number:
310-469-0114

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 GRAHAM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CUYAHOGA FALLS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44223-1773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-928-7888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/01/2020

Additional Information

Authorized Official

Authorized Official Last Name:
APPLEGATE
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
330-928-7888

Provider Taxonomy Codes

  • Taxonomy code: 310400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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