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1154570380 NPI number — ANN MACKINNON FORSBERG AU.D.

NPI Number: 1154570380
Health Care Provider/Practitioner: ANN MACKINNON FORSBERG AU.D.

Information about “1154570380” NPI (ANN MACKINNON FORSBERG AU.D.) exists in 1154570380 in HTML format HTML  |  1154570380 in plain Text format TXT  |  1154570380 in PDF (Portable Document Format) PDF  |  1154570380 in an XML format XML  formats.

NPI Number : 1154570380 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1154570380",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FORSBERG",
    "FirstName": "ANN",
    "MiddleName": "MACKINNON",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "AU.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MACKINNON",
    "OtherFirstName": "ANN",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "MA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 10000",
    "SecondLineMailingAddress": "EXCEPTIONAL STUDENT SERVICES",
    "MailingAddressCityName": "MONTROSE",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81402-9701",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-249-2405",
    "MailingAddressFaxNumber": "970-249-4206",
    "FirstLinePracticeLocationAddress": "930 COLORADO AVE",
    "SecondLinePracticeLocationAddress": "AUDIOLOGY",
    "PracticeLocationAddressCityName": "MONTROSE",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81401-4835",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-249-2405",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/11/2008",
    "LastUpdateDate": "12/10/2015",
    "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": "231H00000X",
        "TaxonomyName": "Audiologist",
        "LicenseNumber": "0403125",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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