1831644913 NPI number — MS. BANSARI AMIN SLP

Table of content: MS. BANSARI AMIN SLP (NPI 1831644913)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831644913 NPI number — MS. BANSARI AMIN SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AMIN
Provider First Name:
BANSARI
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
SLP
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:
1831644913
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
20 JUNIPER CIR UNIT 2105
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LEBANON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03766-5807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-267-7334
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2975 DARTMOUTH COLLEGE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH HAVERHILL
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03774-4535
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-787-2100
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2016

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: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 235Z00000X , with the licence number: 242.004066 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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