NPI Code Detail JSON Logo

1144627076 NPI number — ONALASKA FAMILY CHIROPRACTIC WELLNESS CENTER LLC

NPI Number: 1144627076
Health Care Provider/Practitioner: ONALASKA FAMILY CHIROPRACTIC WELLNESS CENTER LLC

Information about “1144627076” NPI (ONALASKA FAMILY CHIROPRACTIC WELLNESS CENTER LLC) exists in 1144627076 in HTML format HTML  |  1144627076 in plain Text format TXT  |  1144627076 in PDF (Portable Document Format) PDF  |  1144627076 in an XML format XML  formats.

NPI Number : 1144627076 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144627076",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ONALASKA FAMILY CHIROPRACTIC WELLNESS CENTER LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1115 RIDERS CLUB RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ONALASKA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54650-2079",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "608-519-8112",
    "MailingAddressFaxNumber": "608-519-8113",
    "FirstLinePracticeLocationAddress": "1115 RIDERS CLUB RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ONALASKA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54650-2079",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-519-8112",
    "PracticeLocationAddressFaxNumber": "608-519-8113",
    "EnumerationDate": "11/20/2014",
    "LastUpdateDate": "11/20/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GASCH",
    "AuthorizedOfficialFirstName": "PAUL",
    "AuthorizedOfficialMiddleName": "H",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DC",
    "AuthorizedOfficialTelephoneNumber": "608-519-8112",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "111NN1001X",
          "TaxonomyName": "Nutrition Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "111N00000X",
          "TaxonomyName": "Chiropractor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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