1881941490 NPI number — TQN HCM SERVICES

Table of content: KATHELYNE PICHARDO PT, DPT (NPI 1699297044)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881941490 NPI number — TQN HCM SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TQN HCM SERVICES
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:
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:
1881941490
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 W MEADOWVIEW RD
Provider Second Line Business Mailing Address:
SUITE117
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27407-3720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-378-9415
Provider Business Mailing Address Fax Number:
336-378-9417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 W MEADOWVIEW RD
Provider Second Line Business Practice Location Address:
SUITE117
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27407-3720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
336-378-9415
Provider Business Practice Location Address Fax Number:
336-378-9417
Provider Enumeration Date:
08/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SPARKS
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
PERNELL
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
336-378-9415

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  HC3733 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 8700579 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com