1467161190 NPI number — JOURDAN PAIGE THIBODEAUX

Table of content: JOURDAN PAIGE THIBODEAUX (NPI 1467161190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467161190 NPI number — JOURDAN PAIGE THIBODEAUX

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THIBODEAUX
Provider First Name:
JOURDAN
Provider Middle Name:
PAIGE
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:
1467161190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1275 E DATE ST APT 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN BERNARDINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92404-4202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-246-7020
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 UNIVERSAL CITY PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UNIVERSAL CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91608-1002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-246-7020
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2022

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: 103TB0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 12385087 . This is a "KAISER" identifier . This identifiers is of the category "OTHER".




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