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1316218597 NPI number — T.J. NUGENT D.C., P.L.C.

NPI Number: 1316218597
Health Care Provider/Practitioner: T.J. NUGENT D.C., P.L.C.

Information about “1316218597” NPI (T.J. NUGENT D.C., P.L.C.) exists in 1316218597 in HTML format HTML  |  1316218597 in plain Text format TXT  |  1316218597 in PDF (Portable Document Format) PDF  |  1316218597 in an XML format XML  formats.

NPI Number : 1316218597 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316218597",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "T.J. NUGENT D.C., P.L.C.",
    "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": "2931 MANOR DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIDLAND",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48640-4476",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-835-8330",
    "MailingAddressFaxNumber": "989-835-4906",
    "FirstLinePracticeLocationAddress": "2931 MANOR DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIDLAND",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48640-4476",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-835-8330",
    "PracticeLocationAddressFaxNumber": "989-835-4906",
    "EnumerationDate": "01/20/2012",
    "LastUpdateDate": "01/20/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NUGENT",
    "AuthorizedOfficialFirstName": "T.J.",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DOCTOR OF CHIROPRACTIC",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "D.C.",
    "AuthorizedOfficialTelephoneNumber": "989-835-8330",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": "2301005042",
        "LicenseNumberStateCode": "MI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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