1487849956 NPI number — JULIE ANNETTE OINES MA-CCC/SLP

Table of content: JULIE ANNETTE OINES MA-CCC/SLP (NPI 1487849956)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487849956 NPI number — JULIE ANNETTE OINES MA-CCC/SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OINES
Provider First Name:
JULIE
Provider Middle Name:
ANNETTE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA-CCC/SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCOTT
Provider Other First Name:
JULIE
Provider Other Middle Name:
ANNETTE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487849956
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/07/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1284
Provider Second Line Business Mailing Address:
501 WEST HAVENS SUITE 104
Provider Business Mailing Address City Name:
MITCHELL
Provider Business Mailing Address State Name:
SD
Provider Business Mailing Address Postal Code:
57301-7284
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
605-995-6044
Provider Business Mailing Address Fax Number:
605-995-6044

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
501 W HAVENS AVE
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
MITCHELL
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57301-4334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-995-6044
Provider Business Practice Location Address Fax Number:
605-995-6044
Provider Enumeration Date:
09/07/2007

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: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com