1538533948 NPI number — REBECCA S. DE VRIES, PH.D., LLC

Table of content: (NPI 1538533948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538533948 NPI number — REBECCA S. DE VRIES, PH.D., LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REBECCA S. DE VRIES, PH.D., LLC
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:
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:
1538533948
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 CASHDOLLAR RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARS
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16046-3502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-766-2376
Provider Business Mailing Address Fax Number:
844-662-5069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 S MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 102A
Provider Business Practice Location Address City Name:
BUTLER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16001-5991
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-766-2376
Provider Business Practice Location Address Fax Number:
844-662-5069
Provider Enumeration Date:
11/23/2015

Additional Information

Authorized Official

Authorized Official Last Name:
DE VRIES
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
S
Authorized Official Title or Position:
SOLE PROPRIETOR
Authorized Official Telephone Number:
724-766-2376

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  PC005515 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1588983894 . This is a "NPPES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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