NPI Code Detail JSON Logo

1043751407 NPI number — BENJAMIN RICHARDS RN

NPI Number: 1043751407
Health Care Provider/Practitioner: BENJAMIN RICHARDS RN

Information about “1043751407” NPI (BENJAMIN RICHARDS RN) exists in 1043751407 in HTML format HTML  |  1043751407 in plain Text format TXT  |  1043751407 in PDF (Portable Document Format) PDF  |  1043751407 in an XML format XML  formats.

NPI Number : 1043751407 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043751407",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RICHARDS",
    "FirstName": "BENJAMIN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "580 W COLLEGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARQUETTE",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49855-2736",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "906-399-7636",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "N13871 COUNTY ROAD 557",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILSON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49896-9772",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "906-399-7636",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/17/2017",
    "LastUpdateDate": "06/14/2017",
    "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": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "4703099182",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.