1598054629 NPI number — RESPIRA, INC.

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 1598054629 NPI number — RESPIRA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RESPIRA, INC.
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:
1598054629
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
521 PROGRESS DR
Provider Second Line Business Mailing Address:
SUITES A-C
Provider Business Mailing Address City Name:
LINTHICUM
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-2241
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-200-0055
Provider Business Mailing Address Fax Number:
443-200-0054

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4928 LOUISE DR
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
MECHANICSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17055-4800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-373-7747
Provider Business Practice Location Address Fax Number:
800-948-0054
Provider Enumeration Date:
03/29/2011

Additional Information

Authorized Official

Authorized Official Last Name:
MARTINEZ
Authorized Official First Name:
YOLANDA
Authorized Official Middle Name:
M
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
866-373-7747

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  8000001901 , 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)





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