Provider Demographics
NPI:1790974665
Name:PRINCIPLE STAFFING SOLUTIONS,LLC DBA PRINCIPLE REHAB SOLUTIONS
Entity Type:Organization
Organization Name:PRINCIPLE STAFFING SOLUTIONS,LLC DBA PRINCIPLE REHAB SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEPERMINTWALA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, EMBA
Authorized Official - Phone:214-682-1802
Mailing Address - Street 1:3917 CREEK CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7234
Mailing Address - Country:US
Mailing Address - Phone:214-682-1802
Mailing Address - Fax:972-596-3617
Practice Address - Street 1:3917 CREEK CROSSING DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7234
Practice Address - Country:US
Practice Address - Phone:214-682-1802
Practice Address - Fax:972-596-3617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00Y923Medicare PIN