1730440959 NPI number — UNIQUE INVENTIVE STRATEGIES FOR HOME CARE

Table of content: MR. KARL PATRICK SEGLER RN (NPI 1427910751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730440959 NPI number — UNIQUE INVENTIVE STRATEGIES FOR HOME CARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIQUE INVENTIVE STRATEGIES FOR HOME CARE
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:
1730440959
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1063 FERGUSON AVE FL 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63130-2518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-517-1613
Provider Business Mailing Address Fax Number:
314-727-1230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1063 FERGUSON AVE FL 1SR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63130-2518
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-517-1613
Provider Business Practice Location Address Fax Number:
314-727-1230
Provider Enumeration Date:
06/05/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DOUGLAS
Authorized Official First Name:
ERICA
Authorized Official Middle Name:
SARKIESHAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
314-517-1613

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  823 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: 823 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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