Dovetail Holdings, Inc in Kannapolis - Clinical
Dovetail Holdings, Inc - NPI 1215067681
Dovetail Holdings, Inc is a Clinical in Kannapolis, North Carolina. Dovetail Holdings, Inc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dovetail Holdings, Inc is 1215067681. The last update date is 2020-08-22.
Dovetail Holdings, Inc's current location address is 1210 Oakwood Ave, Kannapolis, North Carolina. You can contact this provider via phone number 7044254791 and fax number 7047957179. The mailing address for Dovetail Holdings, Inc is 1210 Oakwood Ave, Kannapolis, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dovetail Holdings, Inc |
|---|---|
| Address | 1210 Oakwood Ave, Kannapolis, North Carolina |
| Phone Number | 7044254791 |
| Fax Number | 7047957179 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Runge Jon Christopher |
| Credentials | PH.D. PSYC |
| Telephone Number | 7044254791 |
NPI Number Detail
| NPI Number | 1215067681 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1210 Oakwood Ave |
|---|---|
| City | Kannapolis |
| State | North Carolina (NC) |
| Post Code | 280815364 |
| Phone Number | 7044254791 |
| Fax Number | 7047957179 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2580 |
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What is the unique identifier code issued to Dovetail Holdings, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Dovetail Holdings, Inc has been assigned the NPI (National Provider Identifier) 1215067681. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Dovetail Holdings, Inc?
The Dovetail Holdings, Inc is physically situated at 1210 Oakwood Ave, in the city of Kannapolis, state of NC, with the postal code 280815364.
What is Dovetail Holdings, Inc's area of expertise and its corresponding taxonomy classification?
The Dovetail Holdings, Inc's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Dovetail Holdings, Inc receive its 1215067681 assignment from the Centers for Medicare & Medicaid Services?
The Dovetail Holdings, Inc was assigned its 1215067681 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information pertaining to Dovetail Holdings, Inc most recently updated or revised?
The details related to Dovetail Holdings, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.