1942489687 NPI number — CORPORATE HEALTH INTERNATIONAL

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 1942489687 NPI number — CORPORATE HEALTH INTERNATIONAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CORPORATE HEALTH INTERNATIONAL
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:
1942489687
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/30/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4400 PARK RD
Provider Second Line Business Mailing Address:
THIRD FLOOR
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28209-3139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-633-3353
Provider Business Mailing Address Fax Number:
704-529-5917

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4400 PARK RD
Provider Second Line Business Practice Location Address:
THIRD FLOOR
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28209-3139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-633-3353
Provider Business Practice Location Address Fax Number:
704-529-5917
Provider Enumeration Date:
10/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TROMBELLO
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
T
Authorized Official Title or Position:
EAP COUNSELOR
Authorized Official Telephone Number:
800-633-3353

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  891 , 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)





Copyright © 2007-2025 www.npivalidator.com