1841748548 NPI number — ADRIANA ELISABETA SERBAN CFPPC

Table of content: ADRIANA ELISABETA SERBAN CFPPC (NPI 1841748548)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841748548 NPI number — ADRIANA ELISABETA SERBAN CFPPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SERBAN
Provider First Name:
ADRIANA
Provider Middle Name:
ELISABETA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CFPPC
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:
1841748548
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/12/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1801 E FIFTH ST
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28204-2379
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-375-5354
Provider Business Mailing Address Fax Number:
704-375-3069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1030 BURRAGE RD NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28025-2910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-375-5354
Provider Business Practice Location Address Fax Number:
704-375-3069
Provider Enumeration Date:
09/12/2016

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: 101YP1600X , with the licence number:  109 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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