1639222813 NPI number — FAY WEST CHIROPRACTIC HEALTH CENTER

Table of content: DR. RICHARD ALLEYNE ARTIM M.D. (NPI 1205830619)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639222813 NPI number — FAY WEST CHIROPRACTIC HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAY WEST CHIROPRACTIC HEALTH CENTER
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:
1639222813
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
RR 7 BOX 812
Provider Second Line Business Mailing Address:
CROSSROADS PLAZA
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15666-8900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-547-1800
Provider Business Mailing Address Fax Number:
724-547-1802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RR 7 BOX 812
Provider Second Line Business Practice Location Address:
CROSSROADS PLAZA
Provider Business Practice Location Address City Name:
MT PLEASANT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15666-8900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-547-1800
Provider Business Practice Location Address Fax Number:
724-547-1802
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOMONAI
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
724-547-1800

Provider Taxonomy Codes

  • Taxonomy code: 111NR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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