1528067576 NPI number — W. SCHAFFER & ASSOCIATES

Table of content: (NPI 1528067576)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528067576 NPI number — W. SCHAFFER & ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
W. SCHAFFER & ASSOCIATES
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:
D/B/A COUNSELORS OF TEXAX
Provider Other Organization Name Type Code:
3
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:
1528067576
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 416
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TEMPLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-778-4673
Provider Business Mailing Address Fax Number:
254-526-4853

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1805 FLORENCE RD.
Provider Second Line Business Practice Location Address:
SUITE 10
Provider Business Practice Location Address City Name:
KILLEEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76541
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-526-4673
Provider Business Practice Location Address Fax Number:
254-526-4853
Provider Enumeration Date:
07/20/2005

Additional Information

Authorized Official

Authorized Official Last Name:
PIRTLE
Authorized Official First Name:
JEFFREY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRIMARY PROVIDER
Authorized Official Telephone Number:
254-526-4673

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 085431701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com