1669441325 NPI number — JOLIE S. BRAMS, PH.D. AND ASSOCIATES, INC.

Table of content: (NPI 1669441325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669441325 NPI number — JOLIE S. BRAMS, PH.D. AND ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOLIE S. BRAMS, PH.D. AND ASSOCIATES, 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:
1669441325
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:
985 BETHEL RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43214-1905
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-457-0077
Provider Business Mailing Address Fax Number:
614-457-2228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
985 BETHEL RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43214-1905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-457-0077
Provider Business Practice Location Address Fax Number:
614-457-2228
Provider Enumeration Date:
03/15/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRAMS
Authorized Official First Name:
JOLIE
Authorized Official Middle Name:
SHERILL
Authorized Official Title or Position:
PRACTICE DIRECTOR
Authorized Official Telephone Number:
614-457-0077

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  3233 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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