1992562037 NPI number — ANTONIO ORTIZ/ AJ SECURITY SOLUTIONS LLC

Table of content: ANTONIO ORTIZ/ AJ SECURITY SOLUTIONS LLC (NPI 1992562037)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992562037 NPI number — ANTONIO ORTIZ/ AJ SECURITY SOLUTIONS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORTIZ/ AJ SECURITY SOLUTIONS LLC
Provider First Name:
ANTONIO
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1992562037
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/05/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7326 STATE ROUTE 19 UNIT 5404
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNT GILEAD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43338-9349
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-692-2811
Provider Business Mailing Address Fax Number:
419-884-7598

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AJ SECURITY SOLUTIONS LLC
Provider Second Line Business Practice Location Address:
7326 ST RT 19 UNIT 5404
Provider Business Practice Location Address City Name:
MT GILEAD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-692-2811
Provider Business Practice Location Address Fax Number:
419-884-7598
Provider Enumeration Date:
03/05/2024

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: 374700000X , with the licence number:  94054293 , 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)





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