1881052611 NPI number — ACCELA INC

Table of content: ROBERT E. CARSON D.M.D., M.S. (NPI 1679648703)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881052611 NPI number — ACCELA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ACCELA INC
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:
1881052611
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1179 MAPLELAWN DR
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
TROY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48084-5515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-273-0467
Provider Business Mailing Address Fax Number:
248-280-6405

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1179 MAPLELAWN DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TROY
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48084-5515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-273-0467
Provider Business Practice Location Address Fax Number:
248-280-6405
Provider Enumeration Date:
02/08/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BERISHAJ
Authorized Official First Name:
AMANDA
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST
Authorized Official Telephone Number:
248-225-8695

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  5301010807 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2154367 . This is a "PK" identifier . This identifiers is of the category "OTHER".