1558735696 NPI number — SILVER LINING ADVANCED LIFE PLANNING LLC

Table of content: (NPI 1558735696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558735696 NPI number — SILVER LINING ADVANCED LIFE PLANNING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVER LINING ADVANCED LIFE PLANNING 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:
SILVER LINING ALP
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:
1558735696
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 N LINDEN ST STE E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTEZ
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
81321-2700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-565-4161
Provider Business Mailing Address Fax Number:
866-749-0163

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 N LINDEN ST STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTEZ
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
81321-2700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-565-4161
Provider Business Practice Location Address Fax Number:
866-749-0163
Provider Enumeration Date:
11/29/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MCGUIRE
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
970-565-4161

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APN-0990364-NP , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 364SF0001X , with the licence number: FNP990365 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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