Provider Demographics
NPI:1295088342
Name:DISABILITY DETERMINATION SERVICE
Entity type:Organization
Organization Name:DISABILITY DETERMINATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:IPPOLITO
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:205-989-2100
Mailing Address - Street 1:2545 ROCKY RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35216-4836
Mailing Address - Country:US
Mailing Address - Phone:205-989-2100
Mailing Address - Fax:205-989-2295
Practice Address - Street 1:2545 ROCKY RIDGE LN
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216-4836
Practice Address - Country:US
Practice Address - Phone:205-989-2100
Practice Address - Fax:205-989-2295
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AL DEPT OF EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL17687251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management