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1063556595 NPI number — BRIAN JOSEPH LOONEY DPT, DC

NPI Number: 1063556595
Health Care Provider/Practitioner: BRIAN JOSEPH LOONEY DPT, DC

Information about “1063556595” NPI (BRIAN JOSEPH LOONEY DPT, DC) exists in 1063556595 in HTML format HTML  |  1063556595 in plain Text format TXT  |  1063556595 in PDF (Portable Document Format) PDF  |  1063556595 in an XML format XML  formats.

NPI Number : 1063556595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063556595",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOONEY",
    "FirstName": "BRIAN",
    "MiddleName": "JOSEPH",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "DPT, DC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "82 PALOMINO LN STE 501-2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BEDFORD",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03110-6448",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-627-6381",
    "MailingAddressFaxNumber": "603-627-6021",
    "FirstLinePracticeLocationAddress": "82 PALOMINO LN STE 501-2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BEDFORD",
    "PracticeLocationAddressStateName": "NH",
    "PracticeLocationAddressPostalCode": "03110-6448",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "603-627-6381",
    "PracticeLocationAddressFaxNumber": "603-627-6021",
    "EnumerationDate": "02/17/2007",
    "LastUpdateDate": "05/17/2010",
    "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": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": "571-0999",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "3526",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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