1609203405 NPI number — APPEAL NOW LLC

Table of content: (NPI 1609203405)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609203405 NPI number — APPEAL NOW LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APPEAL NOW 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:
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:
1609203405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10507
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PENSACOLA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32524-0507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-266-7699
Provider Business Mailing Address Fax Number:
866-632-5816

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7100 TIPPIN AVE
Provider Second Line Business Practice Location Address:
APT B
Provider Business Practice Location Address City Name:
PENSACOLA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32504-6585
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-266-7699
Provider Business Practice Location Address Fax Number:
866-632-5816
Provider Enumeration Date:
10/11/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SAMPSON
Authorized Official First Name:
KIMBERLY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
OWNER/PRESIDENT
Authorized Official Telephone Number:
850-266-7699

Provider Taxonomy Codes

  • Taxonomy code: 251X00000X , with the licence number:  251X00000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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