1679672240 NPI number — F. ROBERT KNOX LISW

Table of content: F. ROBERT KNOX LISW (NPI 1679672240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679672240 NPI number — F. ROBERT KNOX LISW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KNOX
Provider First Name:
F.
Provider Middle Name:
ROBERT
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LISW
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:
1679672240
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2920 CARLISLE BLVD NE
Provider Second Line Business Mailing Address:
SUITE 124
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87110-2867
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-268-6803
Provider Business Mailing Address Fax Number:
505-268-8817

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2920 CARLISLE BLVD NE
Provider Second Line Business Practice Location Address:
SUITE 124
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87110-2867
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-268-6803
Provider Business Practice Location Address Fax Number:
505-268-8817
Provider Enumeration Date:
09/21/2006

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: 1041C0700X , with the licence number:  I-0098 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 90231 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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