1467076786 NPI number — AMBER MARIE ORTIZ

Table of content: AMBER MARIE ORTIZ (NPI 1467076786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467076786 NPI number — AMBER MARIE ORTIZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORTIZ
Provider First Name:
AMBER
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1467076786
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
265 FEDERAL STREET
Provider Second Line Business Mailing Address:
APARTMENT #3
Provider Business Mailing Address City Name:
GREENFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-896-5696
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
265 FEDERAL STREET
Provider Second Line Business Practice Location Address:
APARTMENT #3
Provider Business Practice Location Address City Name:
GREENFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-254-0425
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/02/2020

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: 104100000X , with the licence number:  123396401 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: S70974820 . This is a "DL #" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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