1609588086 NPI number — SAVVY INTUITION, LLC

Table of content: (NPI 1609588086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609588086 NPI number — SAVVY INTUITION, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAVVY INTUITION, 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:
1609588086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4031 COLONEL GLENN HWY STE 450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAVERCREEK TOWNSHIP
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45431-2700
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-749-7770
Provider Business Mailing Address Fax Number:
937-518-7687

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
93 W FRANKLIN ST STE 108
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CENTERVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45459-4761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-749-7770
Provider Business Practice Location Address Fax Number:
937-518-7687
Provider Enumeration Date:
12/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
WILSON
Authorized Official First Name:
CHEY-ANNE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
937-749-7770

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0477519 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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