1508216466 NPI number — MEDICAL ACUPUNCTURE RESEARCH INSTITUTE OF AMERICA, INC

Table of content: MRS. JEANINE ANN THOMPSON R.PH (NPI 1922081827)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508216466 NPI number — MEDICAL ACUPUNCTURE RESEARCH INSTITUTE OF AMERICA, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL ACUPUNCTURE RESEARCH INSTITUTE OF AMERICA, INC
Provider Last Name:
Provider First Name:
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Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
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NPI Number Information

NPI Number:
1508216466
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5180 PARK AVE
Provider Second Line Business Mailing Address:
SUITE 175
Provider Business Mailing Address City Name:
MEMPHIS
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38119-3521
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
901-821-8595
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5180 PARK AVE
Provider Second Line Business Practice Location Address:
SUITE 175
Provider Business Practice Location Address City Name:
MEMPHIS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38119-3521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
901-821-8595
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2016

Additional Information

Authorized Official

Authorized Official Last Name:
CARLOTA
Authorized Official First Name:
LUPO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
901-821-8595

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P2900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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