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1093024838 NPI number — EASTERN MICHIGAN UNIVERSITY

NPI Number: 1093024838
Health Care Provider/Practitioner: EASTERN MICHIGAN UNIVERSITY

Information about “1093024838” NPI (EASTERN MICHIGAN UNIVERSITY) exists in 1093024838 in HTML format HTML  |  1093024838 in plain Text format TXT  |  1093024838 in PDF (Portable Document Format) PDF  |  1093024838 in an XML format XML  formats.

NPI Number : 1093024838 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093024838",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EASTERN MICHIGAN UNIVERSITY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "200 SNOW HEALTH CENTER",
    "SecondLineMailingAddress": "EASTERN MICHIGAN UNIVERSITY",
    "MailingAddressCityName": "YPSILANTI",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48197-2207",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "734-487-1122",
    "MailingAddressFaxNumber": "734-487-2342",
    "FirstLinePracticeLocationAddress": "200 SNOW HEALTH CENTER",
    "SecondLinePracticeLocationAddress": "EASTERN MICHIGAN UNIVERSITY",
    "PracticeLocationAddressCityName": "YPSILANTI",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48197-2207",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "734-487-1122",
    "PracticeLocationAddressFaxNumber": "734-487-2342",
    "EnumerationDate": "09/28/2010",
    "LastUpdateDate": "09/28/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GOLD",
    "AuthorizedOfficialFirstName": "ELLEN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "734-487-1107",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QH0100X",
        "TaxonomyName": "Health Service Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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