1821290735 NPI number — MRS. CHERYL ELAINE DOOLEY NOVICE INTERPRETER

Table of content: MRS. CHERYL ELAINE DOOLEY NOVICE INTERPRETER (NPI 1821290735)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821290735 NPI number — MRS. CHERYL ELAINE DOOLEY NOVICE INTERPRETER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOOLEY
Provider First Name:
CHERYL
Provider Middle Name:
ELAINE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NOVICE INTERPRETER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOOLEY
Provider Other First Name:
CHERYL
Provider Other Middle Name:
ELAINE
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
NOVICE INTERPRETER
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1821290735
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:
426 PINEHURST DR
Provider Second Line Business Mailing Address:
426 PINEHURST DRIVE
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62305-1109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-223-7281
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
426 PINEHURST DR
Provider Second Line Business Practice Location Address:
426 PINEHURST DRIVE
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62305-1109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-223-7281
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2007

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: 171R00000X , with the licence number:  2007014223 , registered in the state of MO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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