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1285276204 NPI number — NATALIE MICHELLE SCHULTZ

NPI Number: 1285276204
Health Care Provider/Practitioner: NATALIE MICHELLE SCHULTZ

Information about “1285276204” NPI (NATALIE MICHELLE SCHULTZ) exists in 1285276204 in HTML format HTML  |  1285276204 in plain Text format TXT  |  1285276204 in PDF (Portable Document Format) PDF  |  1285276204 in an XML format XML  formats.

NPI Number : 1285276204 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285276204",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SCHULTZ",
    "FirstName": "NATALIE",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOENNING",
    "OtherFirstName": "NATALIE",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LLMSW",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "205 N EAST AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49201-1753",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "517-205-4847",
    "MailingAddressFaxNumber": "517-205-7227",
    "FirstLinePracticeLocationAddress": "205 N EAST AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49201-1753",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "517-205-4847",
    "PracticeLocationAddressFaxNumber": "517-205-7227",
    "EnumerationDate": "10/10/2019",
    "LastUpdateDate": "10/24/2023",
    "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": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "6851116421",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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