1609016492 NPI number — FREMONT CITY CITY SCHOOL DISTRICT

Table of content: MRS. CAROL ROSS PAULDING LCPC (NPI 1356566491)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609016492 NPI number — FREMONT CITY CITY SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREMONT CITY CITY SCHOOL DISTRICT
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:
1609016492
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/24/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 CEDAR ST STE A
Provider Second Line Business Mailing Address:
BOARD OF EDUCATION-FINANCE DEPT
Provider Business Mailing Address City Name:
FREMONT
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43420-5118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
419-332-6454
Provider Business Mailing Address Fax Number:
419-334-5454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1220 CEDAR ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FREMONT
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43420-5118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-332-6454
Provider Business Practice Location Address Fax Number:
419-334-5454
Provider Enumeration Date:
03/06/2009

Additional Information

Authorized Official

Authorized Official Last Name:
DORNBUSCH
Authorized Official First Name:
JEFF
Authorized Official Middle Name:
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
419-332-6454

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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