1457393647 NPI number — DR. FRANCES KAY MEASELLS DSW

Table of content: DR. FRANCES KAY MEASELLS DSW (NPI 1457393647)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457393647 NPI number — DR. FRANCES KAY MEASELLS DSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEASELLS
Provider First Name:
FRANCES
Provider Middle Name:
KAY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DSW
Provider Gender Code:
F

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:
1457393647
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71134 AIDLINGEN-LEHANWEILER HAUPSTRAUSSE 6/6
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEHANWEILER-AIDLINGER
Provider Business Mailing Address State Name:
GERMANY
Provider Business Mailing Address Postal Code:
09128
Provider Business Mailing Address Country Code:
DE
Provider Business Mailing Address Telephone Number:
07034288679
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
USAG STUTTGART, ARMY SUBSTANCE ABUSE PROGRAM
Provider Second Line Business Practice Location Address:
BLDG. 2948 ROOM 212
Provider Business Practice Location Address City Name:
BOEBLINGEN
Provider Business Practice Location Address State Name:
GERMANY
Provider Business Practice Location Address Postal Code:
71032
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
07031152530
Provider Business Practice Location Address Fax Number:
07031152764
Provider Enumeration Date:
06/12/2006

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:  121933-3501 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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