1932531506 NPI number — WEST CHESTER SPINE AND PAIN CENTER

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 1932531506 NPI number — WEST CHESTER SPINE AND PAIN CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEST CHESTER SPINE AND PAIN CENTER
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:
1932531506
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/05/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7862 KINGLAND DR
Provider Second Line Business Mailing Address:
STE 201F
Provider Business Mailing Address City Name:
WEST CHESTER
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45069-2573
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-755-1341
Provider Business Mailing Address Fax Number:
513-755-5342

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7862 KINGLAND DR
Provider Second Line Business Practice Location Address:
STE 201F
Provider Business Practice Location Address City Name:
WEST CHESTER
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45069-2573
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-755-1341
Provider Business Practice Location Address Fax Number:
513-755-5342
Provider Enumeration Date:
08/05/2013

Additional Information

Authorized Official

Authorized Official Last Name:
RAFEY
Authorized Official First Name:
PHILLIP
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
513-755-1341

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com