1508936725 NPI number — KREGG KOONS O.D., INC.

Table of content: (NPI 1508936725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508936725 NPI number — KREGG KOONS O.D., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KREGG KOONS O.D., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
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:
6
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:
1508936725
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1608 W. MCGALLIARD RD.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUNCIE
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47304
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
765-289-4727
Provider Business Mailing Address Fax Number:
765-751-2207

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1608 W. MCGALLIARD RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUNCIE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-289-4727
Provider Business Practice Location Address Fax Number:
765-751-2207
Provider Enumeration Date:
11/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KOONS
Authorized Official First Name:
KREGG
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
765-289-4727

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 152W00000X , with the licence number: 18002701 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10015240A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100376600 , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".




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