1730280975 NPI number — MR. RONNIE R FELTS DPH

Table of content: MR. RONNIE R FELTS DPH (NPI 1730280975)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730280975 NPI number — MR. RONNIE R FELTS DPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FELTS
Provider First Name:
RONNIE
Provider Middle Name:
R
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
DPH
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:
1730280975
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7164 WHITES CREEK PIKE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JOELTON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37080-8632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-876-0633
Provider Business Mailing Address Fax Number:
615-876-0080

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7164 WHITES CREEK PIKE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOELTON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37080-8632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-876-0633
Provider Business Practice Location Address Fax Number:
615-876-0080
Provider Enumeration Date:
09/26/2006

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: 183500000X , with the licence number:  3733 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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