1891284907 NPI number — ANCHIO LATWAN WOLFE

Table of content: ANCHIO LATWAN WOLFE (NPI 1891284907)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891284907 NPI number — ANCHIO LATWAN WOLFE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOLFE
Provider First Name:
ANCHIO
Provider Middle Name:
LATWAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

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:
1891284907
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
933 MAPLE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KINGSPORT
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37660-5219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
470-303-8019
Provider Business Mailing Address Fax Number:
404-393-7322

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
933 MAPLE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KINGSPORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37660-5219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
470-303-8019
Provider Business Practice Location Address Fax Number:
404-393-7322
Provider Enumeration Date:
05/03/2018

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: 372500000X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 82-5052742 . This is a "NON-EMERGENCY TRANSPORTATION" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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