1114139185 NPI number — MS. YOLONDA DELLINE FRANKLIN IDC

Table of content: MS. YOLONDA DELLINE FRANKLIN IDC (NPI 1114139185)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114139185 NPI number — MS. YOLONDA DELLINE FRANKLIN IDC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKLIN
Provider First Name:
YOLONDA
Provider Middle Name:
DELLINE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
IDC
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:
1114139185
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 SIGNATURE WAY APT 1133
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMPTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23666-5948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-537-8629
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
USS DWIGHT D EISENHOWER CVN 69
Provider Second Line Business Practice Location Address:
MEDICAL DEPT
Provider Business Practice Location Address City Name:
FPO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09532 2380
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-445-3037
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/04/2007

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: 1710I1002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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