1861661118 NPI number — INTERNATIONAL ACADEMY OF MEDICAL REFLEXOLOGY

Table of content: MARILYN PARKER-CULLEN FNP (NPI 1629009659)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861661118 NPI number — INTERNATIONAL ACADEMY OF MEDICAL REFLEXOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTERNATIONAL ACADEMY OF MEDICAL REFLEXOLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1861661118
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
304 9TH ST
Provider Second Line Business Mailing Address:
HOSTED BY MCCANN SCHOOL OF BUSINESS AND TECHNOLOGY
Provider Business Mailing Address City Name:
WEST EASTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18042-5418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
267-424-4549
Provider Business Mailing Address Fax Number:
610-438-0196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2200 N IRVING ST
Provider Second Line Business Practice Location Address:
HOSTED BY MCCANN SCHOOL OF BUSINESS AND TECHNOLOGY
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18109-9601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-424-4549
Provider Business Practice Location Address Fax Number:
610-438-0196
Provider Enumeration Date:
02/20/2008

Additional Information

Authorized Official

Authorized Official Last Name:
TELEPO
Authorized Official First Name:
LORRAINA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
PRESIDENT/DEAN
Authorized Official Telephone Number:
267-424-4549

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  4537 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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