1457437949 NPI number — RESPIRA, INC.

Table of content: LISA LEGGET RN (NPI 1962928317)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457437949 NPI number — RESPIRA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESPIRA, 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:
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:
1457437949
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
809 PINNACLE DR STE P-T
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINTHICUM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-2536
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-200-0055
Provider Business Mailing Address Fax Number:
443-200-0054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
809 PINNACLE DR STE P-T
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINTHICUM
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21090-2536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-200-0055
Provider Business Practice Location Address Fax Number:
443-200-0054
Provider Enumeration Date:
10/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINEZ
Authorized Official First Name:
YOLANDA
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
FOUNDER
Authorized Official Telephone Number:
443-200-0055

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  10148060 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2690687 . This is a "AETNA PROVIDER NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 101859 . This is a "AMERIGROUP PROVIDER NMBR" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: G3420001 . This is a "BLUECHOICE PROVIDER NMBR" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: MJ92 . This is a "BC/BS PROVIDER NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 712901700 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com