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1184830143 NPI number — TOBY S ALTFELD SPE

NPI Number: 1184830143
Health Care Provider/Practitioner: TOBY S ALTFELD SPE

Information about “1184830143” NPI (TOBY S ALTFELD SPE) exists in 1184830143 in HTML format HTML  |  1184830143 in plain Text format TXT  |  1184830143 in PDF (Portable Document Format) PDF  |  1184830143 in an XML format XML  formats.

NPI Number : 1184830143 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184830143",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ALTFELD",
    "FirstName": "TOBY",
    "MiddleName": "S",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "SPE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "71 SOUTHWIND DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "38305-3963",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "731-394-0749",
    "MailingAddressFaxNumber": "731-512-3875",
    "FirstLinePracticeLocationAddress": "156 C WEST UNIVERSITY PARKWAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "38305",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "731-394-0749",
    "PracticeLocationAddressFaxNumber": "731-512-3875",
    "EnumerationDate": "05/15/2007",
    "LastUpdateDate": "07/08/2007",
    "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": "103T00000X",
        "TaxonomyName": "Psychologist",
        "LicenseNumber": "PE0000000388",
        "LicenseNumberStateCode": "TN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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