1912303942 NPI number — AYHAN CETINER DPT

Table of content: AYHAN CETINER DPT (NPI 1912303942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912303942 NPI number — AYHAN CETINER DPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CETINER
Provider First Name:
AYHAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPT
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:
1912303942
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
501 FAIRMOUNT AVE STE 302
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOWSON
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21286-5494
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-540-3529
Provider Business Mailing Address Fax Number:
301-540-3623

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19785 CRYSTAL ROCK DR
Provider Second Line Business Practice Location Address:
SUITE 311
Provider Business Practice Location Address City Name:
GERMANTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20874-4700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-540-3529
Provider Business Practice Location Address Fax Number:
301-540-3623
Provider Enumeration Date:
11/19/2014

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: 225100000X , with the licence number:  25274 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 25274 . This is a "LICENSE NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com