1659602423 NPI number — SUZANNE PILEGAARD CERTIFIED MASTECTOMY

Table of content: SUZANNE PILEGAARD CERTIFIED MASTECTOMY (NPI 1659602423)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659602423 NPI number — SUZANNE PILEGAARD CERTIFIED MASTECTOMY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PILEGAARD
Provider First Name:
SUZANNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CERTIFIED MASTECTOMY
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:
1659602423
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 WIKUP DRIVE
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
SANTA ROSA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95403-1375
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-526-0356
Provider Business Mailing Address Fax Number:
707-526-0376

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 WIKUP DRIVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SANTA ROSA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95403-1375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-526-0356
Provider Business Practice Location Address Fax Number:
707-526-0376
Provider Enumeration Date:
01/19/2010

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: 225000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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