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1316051022 NPI number — MOVIN ON MOBILITY MID AMERICA LLC

NPI Number: 1316051022
Health Care Provider/Practitioner: MOVIN ON MOBILITY MID AMERICA LLC

Information about “1316051022” NPI (MOVIN ON MOBILITY MID AMERICA LLC) exists in 1316051022 in HTML format HTML  |  1316051022 in plain Text format TXT  |  1316051022 in PDF (Portable Document Format) PDF  |  1316051022 in an XML format XML  formats.

NPI Number : 1316051022 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316051022",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MOVIN ON MOBILITY MID AMERICA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3301 FERN VALLEY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40213-3527",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-964-3556",
    "MailingAddressFaxNumber": "502-964-0159",
    "FirstLinePracticeLocationAddress": "3301 FERN VALLEY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40213-3527",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-964-3556",
    "PracticeLocationAddressFaxNumber": "502-964-0159",
    "EnumerationDate": "08/18/2006",
    "LastUpdateDate": "02/09/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "SHROAT",
    "AuthorizedOfficialFirstName": "JOE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MANAGER/PARTNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "502-964-3556",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "69000409A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "105879",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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