1649400698 NPI number — APT HOLDINGS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649400698 NPI number — APT HOLDINGS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
APT HOLDINGS, INC.
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:
1649400698
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 OLD DAWSON VILLAGE RD E STE 010
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DAWSONVILLE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30534-3807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-265-5964
Provider Business Mailing Address Fax Number:
770-530-0952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 OLD DAWSON VILLAGE RD E STE 010
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DAWSONVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30534-3807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-265-5964
Provider Business Practice Location Address Fax Number:
770-530-0952
Provider Enumeration Date:
07/23/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KALISH
Authorized Official First Name:
SUE ANN
Authorized Official Middle Name:
S.
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
706-265-5964

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  PT002494 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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