1790999589 NPI number — MR. LUIS TONY ORTIZ ATC

Table of content: MR. LUIS TONY ORTIZ ATC (NPI 1790999589)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790999589 NPI number — MR. LUIS TONY ORTIZ ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORTIZ
Provider First Name:
LUIS
Provider Middle Name:
TONY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
ATC
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:
1790999589
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2398 GREENLAWN DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAVERCREEK
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45434-7026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
937-429-2643
Provider Business Mailing Address Fax Number:
937-775-4252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3640 COLONEL GLEN HWY
Provider Second Line Business Practice Location Address:
ROOM 303 NUTTER CENTER
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45435
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-775-3827
Provider Business Practice Location Address Fax Number:
937-775-4252
Provider Enumeration Date:
05/10/2007

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 , with the licence number:  AT000319 , 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)