1982837787 NPI number — DANNIELLE O HARWOOD, MD

Table of content: (NPI 1982837787)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982837787 NPI number — DANNIELLE O HARWOOD, MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DANNIELLE O HARWOOD, MD
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:
1982837787
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/09/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1645 ESPLANADE
Provider Second Line Business Mailing Address:
SUITE 4
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95926-3367
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-343-1200
Provider Business Mailing Address Fax Number:
530-894-3107

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1645 ESPLANADE
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-3367
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-343-1200
Provider Business Practice Location Address Fax Number:
530-894-3107
Provider Enumeration Date:
08/26/2009

Additional Information

Authorized Official

Authorized Official Last Name:
HARWOOD
Authorized Official First Name:
DANNIELLE
Authorized Official Middle Name:
OLIVIA
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
530-343-1200

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A98775 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1720293962 . This is a "NPI TYPE I" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1982837787 . This is a "NPI TYPE 2" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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