NPI Code Detail JSON Logo

1124590237 NPI number — MARITZA E CHAVEZ STAHLY LAT, ATC

NPI Number: 1124590237
Health Care Provider/Practitioner: MARITZA E CHAVEZ STAHLY LAT, ATC

Information about “1124590237” NPI (MARITZA E CHAVEZ STAHLY LAT, ATC) exists in 1124590237 in HTML format HTML  |  1124590237 in plain Text format TXT  |  1124590237 in PDF (Portable Document Format) PDF  |  1124590237 in an XML format XML  formats.

NPI Number : 1124590237 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124590237",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHAVEZ STAHLY",
    "FirstName": "MARITZA",
    "MiddleName": "E",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LAT, ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "318 W OAKRIDGE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GOSHEN",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46528-2652",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1824 DORCHESTER CT STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GOSHEN",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46526-6819",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "574-534-2548",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/31/2018",
    "LastUpdateDate": "12/31/2018",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "36002466A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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