1861261224 NPI number — MS. MOLLY ANNE RUPRECHT LMT

Table of content: MS. MOLLY ANNE RUPRECHT LMT (NPI 1861261224)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861261224 NPI number — MS. MOLLY ANNE RUPRECHT LMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUPRECHT
Provider First Name:
MOLLY
Provider Middle Name:
ANNE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HATCH
Provider Other First Name:
MOLLY
Provider Other Middle Name:
ANNE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1861261224
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/27/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7500 PEARLS RD.
Provider Second Line Business Mailing Address:
ABSOLUTE CHIROPRACTIC
Provider Business Mailing Address City Name:
MIDDLEBURG HTS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7500 PEARLS RD.
Provider Second Line Business Practice Location Address:
ABSOLUTE CHIROPRACTIC
Provider Business Practice Location Address City Name:
MIDDLEBURG HTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-239-0022
Provider Business Practice Location Address Fax Number:
440-239-8024
Provider Enumeration Date:
12/27/2023

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: 225700000X , with the licence number:  33.022562 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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