NPI Code Detail JSON Logo

1053304535 NPI number — JOANNA MOREY SCHULTZ DC CCSP CCP

NPI Number: 1053304535
Health Care Provider/Practitioner: JOANNA MOREY SCHULTZ DC CCSP CCP

Information about “1053304535” NPI (JOANNA MOREY SCHULTZ DC CCSP CCP) exists in 1053304535 in HTML format HTML  |  1053304535 in plain Text format TXT  |  1053304535 in PDF (Portable Document Format) PDF  |  1053304535 in an XML format XML  formats.

NPI Number : 1053304535 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053304535",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "X",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "JOANNA",
    "MiddleName": "MOREY",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DC CCSP CCP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24W500 MAPLE AVE",
    "SecondLineMailingAddress": "#105",
    "MailingAddressCityName": "NAPERVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60540-6055",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-428-4300",
    "MailingAddressFaxNumber": "630-428-4205",
    "FirstLinePracticeLocationAddress": "24W500 MAPLE AVE",
    "SecondLinePracticeLocationAddress": "#105",
    "PracticeLocationAddressCityName": "NAPERVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60540-6055",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-428-4300",
    "PracticeLocationAddressFaxNumber": "630-428-4205",
    "EnumerationDate": "08/30/2005",
    "LastUpdateDate": "07/08/2007",
    "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": null,
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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