1801064399 NPI number — JAN CHRISTIAN BUDO RDH

Table of content: JAN CHRISTIAN BUDO RDH (NPI 1801064399)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801064399 NPI number — JAN CHRISTIAN BUDO RDH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUDO
Provider First Name:
JAN
Provider Middle Name:
CHRISTIAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RDH
Provider Gender Code:
F

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:
1801064399
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BOX 837
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AP
Provider Business Mailing Address Postal Code:
96555
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-355-2493
Provider Business Mailing Address Fax Number:
805-355-2174

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BOX 1700
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AP
Provider Business Practice Location Address Postal Code:
96555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-355-2165
Provider Business Practice Location Address Fax Number:
805-355-2174
Provider Enumeration Date:
02/19/2008

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: 124Q00000X , with the licence number:  2147 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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