ERICK JULL , NPI 1962864454 — PHOENIX (AZ)

NPI 1962864454

4+ Years Experience Individual

ERICK JULL

03/23/2016
PROVIDER ENUMERATION DATE
03/23/2016
LAST UPDATE DATE
1962864454
NPI NUMBER

About ERICK JULL

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

ERICK JULL is a provider established in PHOENIX, AZ. The NPI number of ERICK JULL is 1962864454 and was assigned on 03/23/2016. The practitioners primary taxonomy code is: 247200000X .

Mailing address

  • City: PASADENA
  • State: CA
  • Postal code: 911100698
  • Phone: 6022631200
  • Fax: 6022005383
  • Address: PO BOX 31001-0698

Primary Practice Address

  • Region : PHOENIX, AZ
  • NPI : 1962864454
  • Phone : 6022631200
  • Fax : 6022005383
  • Postalcode : 850165319
  • Address : 4212 N 16TH ST

Provider taxonomy - Technician, Other

  • Taxonomy code: 247200000X

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Contacts:

Click to Show Map
  • ERICK JULL
  • Address : 4212 N 16TH ST
  • Region : PHOENIX, AZ
  • NPI : 1962864454
  • Phone : 6022631200
  • Fax : 6022005383
  • Postalcode : 850165319

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address4212 N 16TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NamePHOENIX
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameAZ
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code850165319
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6022631200
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number6022005383
The fax number associated with the location address of the provider being identified.
NPI1962864454
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1247200000X
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Provider Enumeration Date03/23/2016
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated03/23/2016
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)ERICK JULL
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing AddressPO BOX 31001-0698
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NamePASADENA
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code911100698
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number6022631200
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6022005383
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1247200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Technician, Other
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?