1598911240 NPI number — MR. WILLIAM JAMES HARVEY IV CERT'D ADV. ROLFER

Table of content: MR. WILLIAM JAMES HARVEY IV CERT'D ADV. ROLFER (NPI 1598911240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598911240 NPI number — MR. WILLIAM JAMES HARVEY IV CERT'D ADV. ROLFER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARVEY
Provider First Name:
WILLIAM
Provider Middle Name:
JAMES
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
IV
Provider Credential Text:
CERT'D ADV. ROLFER
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HARVEY
Provider Other First Name:
BILL
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
C. A. ROLFER
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1598911240
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3901B MAIN ST
Provider Second Line Business Mailing Address:
2ND FLOOR
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19127-2191
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-508-3065
Provider Business Mailing Address Fax Number:
215-508-2831

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3901B MAIN ST
Provider Second Line Business Practice Location Address:
2ND FLOOR
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19127-2191
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-508-3065
Provider Business Practice Location Address Fax Number:
215-508-2831
Provider Enumeration Date:
08/13/2008

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: 174400000X , with the licence number:  N. A. ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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