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1043604432 NPI number — NEAL MATTHEW FOLEY D.O.

NPI Number: 1043604432
Health Care Provider/Practitioner: NEAL MATTHEW FOLEY D.O.

Information about “1043604432” NPI (NEAL MATTHEW FOLEY D.O.) exists in 1043604432 in HTML format HTML  |  1043604432 in plain Text format TXT  |  1043604432 in PDF (Portable Document Format) PDF  |  1043604432 in an XML format XML  formats.

NPI Number : 1043604432 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043604432",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FOLEY",
    "FirstName": "NEAL",
    "MiddleName": "MATTHEW",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3150 N TENAYA WAY STE 480",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89128-0494",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-419-6701",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "221 MICHIGAN ST NE STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49503-2537",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-789-5674",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2015",
    "LastUpdateDate": "06/14/2023",
    "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": "208G00000X",
          "TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
          "LicenseNumber": "U2845",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "208G00000X",
          "TaxonomyName": "Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician",
          "LicenseNumber": "5101026229",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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