1861035602 NPI number — BARBARA ANNE MURRAY DIMAIO ATC

Table of content: BARBARA ANNE MURRAY DIMAIO ATC (NPI 1861035602)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861035602 NPI number — BARBARA ANNE MURRAY DIMAIO ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DIMAIO
Provider First Name:
BARBARA
Provider Middle Name:
ANNE MURRAY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ATC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DIMAIO
Provider Other First Name:
ANNE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
ATC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861035602
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3314 NAPOLEON AVE APT B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70125-4840
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
571-485-0044
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
407 COLLEGE ST APT 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLINGTON
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05401-3459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
571-485-0044
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2019

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: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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