Genesishouse, Inc. in Gastonia - Prescribing (medical)

Genesishouse, Inc. - NPI 1093727893

Genesishouse, Inc. is a Prescribing (medical) in Gastonia, North Carolina. Genesishouse, Inc. practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Genesishouse, Inc. is 1093727893. The last update date is 2011-06-29.

Genesishouse, Inc.'s current location address is Po Box 551389, Gastonia, North Carolina. You can contact this provider via phone number 7048523778 and fax number 7048538751. The mailing address for Genesishouse, Inc. is Po Box 551389, Gastonia, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Genesishouse, Inc.
Address Po Box 551389, Gastonia, North Carolina
Phone Number 7048523778
Fax Number 7048538751
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hall Fernandez Kelvin
Telephone Number 7048523778

NPI Number Detail

NPI Number 1093727893
Provider Enumeration Date 2006-08-12
Last Updated Date 2011-06-29

Provider Mailing Address Detail

Address Po Box 551389
City Gastonia
State North Carolina (NC)
Post Code 280551389
Phone Number 7048523778
Fax Number 7048538751

Provider's Primary Taxonomy Detail

Speciality Prescribing (medical)
Taxonomy 103Tp0016X
Licence No 9401389
Definition:
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8300892 NC --
8300892B NC --
3418147 NC --
6102216 NC --
8303041R NC --
8303041 NC --
8300892V NC --
8300892G NC --

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FAQs about Genesishouse, Inc.

What is the unique provider identifier assigned to Genesishouse, Inc.?

The Genesishouse, Inc. has been issued the NPI (National Provider Identifier) 1093727893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Genesishouse, Inc. is geographically located?

The Genesishouse, Inc. is physically situated at the following location: Po Box 551389, Gastonia, NC, 280551389.

What is the area of specialization for Genesishouse, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Genesishouse, Inc. is Prescribing (medical), and the corresponding taxonomy code that categorizes this area of expertise is 103Tp0016X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093727893 to Genesishouse, Inc.?

The Genesishouse, Inc. received its 1093727893 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.

When was the information related to Genesishouse, Inc. most recently updated or refreshed?

The details pertaining to the Genesishouse, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-06-29.

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