1629120837 NPI number — MS. STEPHANI HUSTON COX APN CNP

Table of content: MS. STEPHANI HUSTON COX APN CNP (NPI 1629120837)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629120837 NPI number — MS. STEPHANI HUSTON COX APN CNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COX
Provider First Name:
STEPHANI
Provider Middle Name:
HUSTON
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
APN CNP
Provider Gender Code:
F

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:
1629120837
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1507 E BUENA VISTA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DECATUR
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62521
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-423-7706
Provider Business Mailing Address Fax Number:
217-544-2746

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 E WASHINGTON
Provider Second Line Business Practice Location Address:
PLANNED PARENTHOOD SPRINGFIELD AREA
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-544-8790
Provider Business Practice Location Address Fax Number:
217-544-2746
Provider Enumeration Date:
01/17/2007

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: 363L00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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