1508152117 NPI number — EVAN A. REIMBOLD HEARING INSTRUMENT D

Table of content: EVAN A. REIMBOLD HEARING INSTRUMENT D (NPI 1508152117)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508152117 NPI number — EVAN A. REIMBOLD HEARING INSTRUMENT D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REIMBOLD
Provider First Name:
EVAN
Provider Middle Name:
A.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
HEARING INSTRUMENT D
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:
1508152117
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 1058
Provider Second Line Business Mailing Address:
1717 W. MAIN STREET
Provider Business Mailing Address City Name:
CARBENDALE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62903-1058
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
618-457-6643
Provider Business Mailing Address Fax Number:
618-457-6643

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 W. MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARBENDALE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
618-457-6643
Provider Business Practice Location Address Fax Number:
618-457-6643
Provider Enumeration Date:
06/22/2011

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: 237700000X , with the licence number:  3009 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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