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1306857859 NPI number — JAMES WESELY MESSER JR. A.T.,C., NASM-PES

NPI Number: 1306857859
Health Care Provider/Practitioner: JAMES WESELY MESSER JR. A.T.,C., NASM-PES

Information about “1306857859” NPI (JAMES WESELY MESSER JR. A.T.,C., NASM-PES) exists in 1306857859 in HTML format HTML  |  1306857859 in plain Text format TXT  |  1306857859 in PDF (Portable Document Format) PDF  |  1306857859 in an XML format XML  formats.

NPI Number : 1306857859 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306857859",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MESSER",
    "FirstName": "JAMES",
    "MiddleName": "WESELY",
    "NamePrefix": "MR.",
    "NameSuffix": "JR.",
    "Credential": "A.T.,C., NASM-PES",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "509 HILL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMVILLE",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23901-2043",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "434-390-0028",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "201 HIGH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMVILLE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23909-1800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "434-395-2827",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2006",
    "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": "2255A2300X",
        "TaxonomyName": "Athletic Trainer",
        "LicenseNumber": "0126000584",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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