1821148560 NPI number — MRS. MIRIAM HOPE VORIES OTRL

Table of content: MRS. MIRIAM HOPE VORIES OTRL (NPI 1821148560)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821148560 NPI number — MRS. MIRIAM HOPE VORIES OTRL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VORIES
Provider First Name:
MIRIAM
Provider Middle Name:
HOPE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OTRL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SOOTS
Provider Other First Name:
MIRIAM
Provider Other Middle Name:
H
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
OTRL
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1821148560
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:
5214 S EAST STREET
Provider Second Line Business Mailing Address:
BUILDING D SUITE 1
Provider Business Mailing Address City Name:
INDIANAPOLIS
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-486-4449
Provider Business Mailing Address Fax Number:
317-780-3750

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5214 S EAST STREET
Provider Second Line Business Practice Location Address:
HTS OUTPATIENT THERAPY SERVICES BUILDING D SUITE 1
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-486-4449
Provider Business Practice Location Address Fax Number:
317-780-3750
Provider Enumeration Date:
01/12/2007

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: 225X00000X , with the licence number:  31004356A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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