1811541725 NPI number — MRS. JOEANNE M THOMAS JOSEPH SP/C

Table of content: MRS. JOEANNE M THOMAS JOSEPH SP/C (NPI 1811541725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811541725 NPI number — MRS. JOEANNE M THOMAS JOSEPH SP/C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
THOMAS JOSEPH
Provider First Name:
JOEANNE
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
SP/C
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:
1811541725
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/26/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3108 6TH ST W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEHIGH ACRES
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33971-1460
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
239-491-4700
Provider Business Mailing Address Fax Number:
877-836-4662

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3108 6TH ST W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEHIGH ACRES
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33971-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
239-491-4700
Provider Business Practice Location Address Fax Number:
877-836-4662
Provider Enumeration Date:
07/29/2019

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: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 246YC3302X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: X122183X . This is a "FINANCIAL SERVICES CONSULTANT" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0025944968XX . This is a "FTC/FCC FRN" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1009572XX . This is a "FL NOTARY" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 204907208XX . This is a "DBE/ACDBE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 16839190XX . This is a "NPN PRODUCER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 17900657XX . This is a "AGENT BROKER TRAINING" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 204907208XX . This is a "MBE/WBE/CBE CERTIFIED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 143049545XX . This is a "SERVICE PROVIDER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 468015203795XX . This is a "FLDOR CERTIFICATE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 517919 . This is a "STATE OF FLORIDA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: DOD357SXX . This is a "DOD CAGE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 170127XX . This is a "FTC/FCC USAC" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 204907208XX . This is a "SAM REGISTRATION" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 517611 . This is a "SAM REGISTRATION" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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