NPI Code Detail JSON Logo

1033329206 NPI number — DAVID CIRCUIT CHRISTIANSEN MSPT

NPI Number: 1033329206
Health Care Provider/Practitioner: DAVID CIRCUIT CHRISTIANSEN MSPT

Information about “1033329206” NPI (DAVID CIRCUIT CHRISTIANSEN MSPT) exists in 1033329206 in HTML format HTML  |  1033329206 in plain Text format TXT  |  1033329206 in PDF (Portable Document Format) PDF  |  1033329206 in an XML format XML  formats.

NPI Number : 1033329206 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033329206",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHRISTIANSEN",
    "FirstName": "DAVID",
    "MiddleName": "CIRCUIT",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MSPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3304 OREGON TRAIL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KIMBERLY",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83341-5349",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1120 MONTANA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GOODING",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83330-1858",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-934-8766",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/23/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT-1770",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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