1639293590 NPI number — JOSEPH MICHAEL SHURINA RDH

Table of content: JOSEPH MICHAEL SHURINA RDH (NPI 1639293590)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639293590 NPI number — JOSEPH MICHAEL SHURINA RDH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHURINA
Provider First Name:
JOSEPH
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RDH
Provider Gender Code:
M

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:
1639293590
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:
1225 14TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAVRE
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59501-4687
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-265-5911
Provider Business Mailing Address Fax Number:
406-353-3227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RR 1 BOX 67
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLEM
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59526-9705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-353-3168
Provider Business Practice Location Address Fax Number:
406-353-3227
Provider Enumeration Date:
03/18/2007

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: 124Q00000X , with the licence number:  1132 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1132 . This is a "LICENSE" identifier , issued by the state of ( MT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com