1720047228 NPI number — CARLETTA MARY BROWN VANDERBILT M.D.

Table of content: CARLETTA MARY BROWN VANDERBILT M.D. (NPI 1720047228)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720047228 NPI number — CARLETTA MARY BROWN VANDERBILT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VANDERBILT
Provider First Name:
CARLETTA
Provider Middle Name:
MARY BROWN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1720047228
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5096
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELLINGHAM
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98227-5096
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-715-4186
Provider Business Mailing Address Fax Number:
360-715-4143

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3015 SQUALICUM PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELLINGHAM
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98225-1945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-715-4186
Provider Business Practice Location Address Fax Number:
360-715-4143
Provider Enumeration Date:
03/22/2006

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: 207RG0300X , with the licence number:  MD00017168 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1720047228 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1841907 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4586813 . This is a "AETNA" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 0167683 . This is a "L&I AND CRIME VICTIMS" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 110232336 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".
  • Identifier: 7855VA . This is a "REGENCE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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