1881833648 NPI number — MRS. ALLEN CLARE ELKINS HECKMAN M. A., NCC

Table of content: MRS. ALLEN CLARE ELKINS HECKMAN M. A., NCC (NPI 1881833648)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881833648 NPI number — MRS. ALLEN CLARE ELKINS HECKMAN M. A., NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HECKMAN
Provider First Name:
ALLEN CLARE
Provider Middle Name:
ELKINS
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M. A., NCC
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:
1881833648
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
915 ROSA L PARKS BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37208-2621
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-460-4112
Provider Business Mailing Address Fax Number:
615-460-4109

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
915 ROSA L PARKS BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37208-2621
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-460-4112
Provider Business Practice Location Address Fax Number:
615-460-4109
Provider Enumeration Date:
02/18/2009

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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com