1942526041 NPI number — MR. ALLEN TRENT RIGGS LPC

Table of content: MR. ALLEN TRENT RIGGS LPC (NPI 1942526041)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942526041 NPI number — MR. ALLEN TRENT RIGGS LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIGGS
Provider First Name:
ALLEN
Provider Middle Name:
TRENT
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LPC
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:
1942526041
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
540 W 600 S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANTI
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84642-5505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-559-0055
Provider Business Mailing Address Fax Number:
888-559-0055

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
540 W 600 S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANTI
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84642-5505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-559-0055
Provider Business Practice Location Address Fax Number:
888-559-0055
Provider Enumeration Date:
04/14/2010

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: 101Y00000X , with the licence number:  373871-6004 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 373871-6004 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 373871-6004 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 373871-6004 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 64892 . This is a "NATIONAL COUNSELOR CERTIFICATION NUMBER NBCC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 373871-6004 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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