1568508265 NPI number — MS. GRACE TSUFFIS BA SOCIOLOGY

Table of content: MS. GRACE TSUFFIS BA SOCIOLOGY (NPI 1568508265)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568508265 NPI number — MS. GRACE TSUFFIS BA SOCIOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TSUFFIS
Provider First Name:
GRACE
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
BA SOCIOLOGY
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:
1568508265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O.BOX2569
Provider Second Line Business Mailing Address:
SUNRISE SERVICES, INC
Provider Business Mailing Address City Name:
EVERETT
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
425-212-4200
Provider Business Mailing Address Fax Number:
425-212-4241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
811 MADISON STREET
Provider Second Line Business Practice Location Address:
SUNRISE SERVICES,INC.
Provider Business Practice Location Address City Name:
EVERETT
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-212-4200
Provider Business Practice Location Address Fax Number:
425-212-4241
Provider Enumeration Date:
01/29/2007

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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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