1699192716 NPI number — MR. RYAN HATCHER COBB M.S. A.T.,C.

Table of content: MR. RYAN HATCHER COBB M.S. A.T.,C. (NPI 1699192716)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699192716 NPI number — MR. RYAN HATCHER COBB M.S. A.T.,C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COBB
Provider First Name:
RYAN
Provider Middle Name:
HATCHER
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.S. A.T.,C.
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:
1699192716
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
510 CONTADA CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DANVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94526-3530
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-643-4564
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
170 SIMPSON CENTER UC BERKELEY
Provider Second Line Business Practice Location Address:
CAL SPORTS MEDICINE
Provider Business Practice Location Address City Name:
BERKELEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94720-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-642-4878
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2014

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: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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