1528176856 NPI number — MS. BARBARA A LITTON COX MS, CCC/A

Table of content: MS. BARBARA A LITTON COX MS, CCC/A (NPI 1528176856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528176856 NPI number — MS. BARBARA A LITTON COX MS, CCC/A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LITTON COX
Provider First Name:
BARBARA
Provider Middle Name:
A
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, CCC/A
Provider Gender Code:
F

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:
1528176856
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/23/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RR 1 BOX 11
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KERENS
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26276-9708
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
304-637-2604
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
177 MIDDLETOWN RD STE 5
Provider Second Line Business Practice Location Address:
WHITE HALL PROFESSIONAL COMPLEX
Provider Business Practice Location Address City Name:
FAIRMONT
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26554-8254
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-516-3824
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2006

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: 231H00000X , with the licence number:  A-0133 , registered in the state of WV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 001723938 . This is a "MOUNTAIN STATE BCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: 9460009000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 612604100 . This is a "DOL-FEDERAL WORK COMP" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: P00423431 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".
  • Identifier: WV06937B . This is a "HEALTH PLAN" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".