1992894810 NPI number — MRS. LAURIE FARR HANKS MA, CAS

Table of content: MRS. LAURIE FARR HANKS MA, CAS (NPI 1992894810)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992894810 NPI number — MRS. LAURIE FARR HANKS MA, CAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANKS
Provider First Name:
LAURIE
Provider Middle Name:
FARR
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, CAS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FARR
Provider Other First Name:
LAURIE
Provider Other Middle Name:
POOLE
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA, CAS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992894810
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
132 BURPEE HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRANTHAM
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03753
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-863-1239
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE RIVER JUNCTION
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05001-7134
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-863-1239
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2006

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: 103TS0200X , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com