Provider Demographics
NPI:1619795515
Name:PAGE CONSULTANT
Entity type:Organization
Organization Name:PAGE CONSULTANT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-505-7209
Mailing Address - Street 1:204 EAST BUNCOMBE STREET
Mailing Address - Street 2:
Mailing Address - City:ROPER
Mailing Address - State:NC
Mailing Address - Zip Code:27970
Mailing Address - Country:US
Mailing Address - Phone:252-505-7209
Mailing Address - Fax:252-677-5145
Practice Address - Street 1:204 EAST BUNCOMBE STREET
Practice Address - Street 2:
Practice Address - City:ROPER
Practice Address - State:NC
Practice Address - Zip Code:27970
Practice Address - Country:US
Practice Address - Phone:252-505-7209
Practice Address - Fax:252-677-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty