1922011626 NPI number — JEANNE DODD-MURPHY PHD, CCCIA, FAAA

Table of content: JEANNE DODD-MURPHY PHD, CCCIA, FAAA (NPI 1922011626)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922011626 NPI number — JEANNE DODD-MURPHY PHD, CCCIA, FAAA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DODD-MURPHY
Provider First Name:
JEANNE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHD, CCCIA, FAAA
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:
1922011626
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DEPT OF LRE BOX 32085
Provider Second Line Business Mailing Address:
APPALACHIAN STATE UNIVERSITY
Provider Business Mailing Address City Name:
BOONE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28608-2085
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-262-6075
Provider Business Mailing Address Fax Number:
282-262-6766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
730 RIVERS STREET
Provider Second Line Business Practice Location Address:
EDWIN DUNCAN HALL ROOM 114
Provider Business Practice Location Address City Name:
BOONE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28605-2041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-262-2185
Provider Business Practice Location Address Fax Number:
828-262-6766
Provider Enumeration Date:
08/14/2006

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: 231H00000X , with the licence number:  3644 , 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: 7411013 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 13475 . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com