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1023327384 NPI number — ELIESHA RUTH EVANS D.C.

NPI Number: 1023327384
Health Care Provider/Practitioner: ELIESHA RUTH EVANS D.C.

Information about “1023327384” NPI (ELIESHA RUTH EVANS D.C.) exists in 1023327384 in HTML format HTML  |  1023327384 in plain Text format TXT  |  1023327384 in PDF (Portable Document Format) PDF  |  1023327384 in an XML format XML  formats.

NPI Number : 1023327384 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023327384",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EVANS",
    "FirstName": "ELIESHA",
    "MiddleName": "RUTH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GATZKE",
    "OtherFirstName": "ELIESHA",
    "OtherMiddleName": "RUTH",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "D.C.",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "15720 W NATIONAL AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW BERLIN",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53151-5119",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-785-5515",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "15720 W NATIONAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BERLIN",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53151-5119",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-785-5515",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2010",
    "LastUpdateDate": "10/04/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "2880",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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