1871838516 NPI number — THOMAS SPECHT ALPERT AND SAAREMETS BRADLEY THOMAS GEN PTR

Table of content: (NPI 1871838516)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871838516 NPI number — THOMAS SPECHT ALPERT AND SAAREMETS BRADLEY THOMAS GEN PTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS SPECHT ALPERT AND SAAREMETS BRADLEY THOMAS GEN PTR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NORTH TAHOE ANESTHESIA GROUP
Provider Other Organization Name Type Code:
3
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:
1871838516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 34120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89533-4120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-747-5050
Provider Business Mailing Address Fax Number:
775-329-8596

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10121 PINE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRUCKEE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96161-4835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-582-1882
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/06/2012

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
BRADLEY
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
530-582-1885

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com