Provider Demographics
NPI:1013139575
Name:PASTEUR SENIOR CONSULTING SERVICES LLC
Entity Type:Organization
Organization Name:PASTEUR SENIOR CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASTEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-367-6355
Mailing Address - Street 1:174 WILLIS ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5133
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:174 WILLIS ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5133
Practice Address - Country:US
Practice Address - Phone:240-372-0614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLW31PAOtherCAREFIRST BCBS
DC1759OtherMEDICARE RAILROAD
MDLW31PAOtherCAREFIRST BCBS
MD908MMedicare ID - Type UnspecifiedMED B GROUP NUMBER