1568504470 NPI number — T&C TOOLE, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568504470 NPI number — T&C TOOLE, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
T&C TOOLE, 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:
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:
1568504470
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 457
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OWENTON
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40359-0457
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-484-3444
Provider Business Mailing Address Fax Number:
502-484-5151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 W SEMINARY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OWENTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40359-1543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-484-3444
Provider Business Practice Location Address Fax Number:
502-484-5151
Provider Enumeration Date:
02/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TOOLE
Authorized Official First Name:
HAROLD
Authorized Official Middle Name:
TODD
Authorized Official Title or Position:
OWNER MANAGER
Authorized Official Telephone Number:
502-484-3444

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  P06757 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 54003884 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90010943 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com