1952670861 NPI number — SUSAN E BRANHAM RNFA

Table of content: SUSAN E BRANHAM RNFA (NPI 1952670861)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952670861 NPI number — SUSAN E BRANHAM RNFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRANHAM
Provider First Name:
SUSAN
Provider Middle Name:
E
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
RNFA
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:
1952670861
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
346 PRESWICKE ML
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BLACKLICK
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43004-8477
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-866-2051
Provider Business Mailing Address Fax Number:
888-329-6432

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
346 PRESWICKE ML
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BLACKLICK
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43004-8477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-866-2051
Provider Business Practice Location Address Fax Number:
888-329-6432
Provider Enumeration Date:
12/21/2011

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: 163WR0006X , with the licence number:  RN-310166 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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