1881991883 NPI number — PC SOLUTIONS HOLDING, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881991883 NPI number — PC SOLUTIONS HOLDING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PC SOLUTIONS HOLDING, 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:
1881991883
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 CABARRUS AVE E
Provider Second Line Business Mailing Address:
SUITE 215
Provider Business Mailing Address City Name:
CONCORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28025-4784
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-788-2353
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 CABARRUS AVE E
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28025-4784
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-788-2353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALOMON
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
704-788-2353

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HC-4321 , 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)