1497808513 NPI number — MR. JOHN MORRELL SUNDERSON PA-C

Table of content: MR. JOHN MORRELL SUNDERSON PA-C (NPI 1497808513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497808513 NPI number — MR. JOHN MORRELL SUNDERSON PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SUNDERSON
Provider First Name:
JOHN
Provider Middle Name:
MORRELL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
M

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:
1497808513
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:
7265 N 1ST ST
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
FRESNO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93720-2956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-431-8181
Provider Business Mailing Address Fax Number:
559-438-3060

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7265 N 1ST ST
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
FRESNO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93720-2956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-431-8181
Provider Business Practice Location Address Fax Number:
559-438-3060
Provider Enumeration Date:
01/19/2007

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: 363A00000X , with the licence number:  PA10555 , registered in the state of CA ; 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