1801922000 NPI number — MS. CAROL ANN SHARPE TRANSPORTATION

Table of content: MS. CAROL ANN SHARPE TRANSPORTATION (NPI 1801922000)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801922000 NPI number — MS. CAROL ANN SHARPE TRANSPORTATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHARPE
Provider First Name:
CAROL
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
TRANSPORTATION
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TAXI
Provider Other First Name:
LIGHTNING
Provider Other Middle Name:
YELLOW
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
TRANSPORTATION
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1801922000
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:
4295 N BENTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGMAN
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
86409-2640
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-692-9746
Provider Business Mailing Address Fax Number:
928-692-0233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4295 N BENTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGMAN
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86409-2640
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-753-4444
Provider Business Practice Location Address Fax Number:
928-692-0233
Provider Enumeration Date:
02/24/2007

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: 344600000X , with the licence number:  07-2431 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com