1427368695 NPI number — MR. WESLEY LEROY COLTER RW#3585

Table of content: MR. WESLEY LEROY COLTER RW#3585 (NPI 1427368695)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427368695 NPI number — MR. WESLEY LEROY COLTER RW#3585

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLTER
Provider First Name:
WESLEY
Provider Middle Name:
LEROY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
RW#3585
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:
1427368695
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/14/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5450 POWER INN RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SACRAMENTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95820-6749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-388-9418
Provider Business Mailing Address Fax Number:
916-388-9273

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5450 POWER INN RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SACRAMENTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95820-6749
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-388-9418
Provider Business Practice Location Address Fax Number:
916-388-9273
Provider Enumeration Date:
10/20/2010

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: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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