1609977032 NPI number — DR. DAGNEY LYNN STROMBERG D.C.

Table of content: MS. CAMILE NOEL WARASHINA-MESSINA CRNA (NPI 1467001883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609977032 NPI number — DR. DAGNEY LYNN STROMBERG D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STROMBERG
Provider First Name:
DAGNEY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOORE
Provider Other First Name:
DAGNEY
Provider Other Middle Name:
LYNN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.C.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1609977032
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/16/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 N SANTA FE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SALINA
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67401-2616
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-404-6960
Provider Business Mailing Address Fax Number:
785-404-6961

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 N SANTA FE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALINA
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67401-2616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-404-6960
Provider Business Practice Location Address Fax Number:
785-404-6961
Provider Enumeration Date:
09/26/2006

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: 111N00000X , with the licence number:  01-04572 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 111NS0005X , with the licence number: 01-04572 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0000062314 . This is a "BCBS KANSAS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 9191436 . This is a "PHCS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 658504 . This is a "ACN" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 2123928 . This is a "FIRST HEALTH" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".