1992178362 NPI number — GREGG E NATKOWSKI, PC

Table of content: (NPI 1992178362)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992178362 NPI number — GREGG E NATKOWSKI, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GREGG E NATKOWSKI, PC
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:
LIVING LIFE COUNSELING
Provider Other Organization Name Type Code:
3
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:
1992178362
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/07/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
37677 PROFESSIONAL CENTER DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LIVONIA
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48154-1192
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
810-923-5760
Provider Business Mailing Address Fax Number:
810-225-0980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37677 PROFESSIONAL CENTER DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LIVONIA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48154-1192
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
810-923-5760
Provider Business Practice Location Address Fax Number:
810-225-0980
Provider Enumeration Date:
11/07/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NATKOWSKI
Authorized Official First Name:
GREGG
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
810-923-5760

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  6401009245 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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