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1326200692 NPI number — NICHOLAS AUSTIN GREINER D.O.

NPI Number: 1326200692
Health Care Provider/Practitioner: NICHOLAS AUSTIN GREINER D.O.

Information about “1326200692” NPI (NICHOLAS AUSTIN GREINER D.O.) exists in 1326200692 in HTML format HTML  |  1326200692 in plain Text format TXT  |  1326200692 in PDF (Portable Document Format) PDF  |  1326200692 in an XML format XML  formats.

NPI Number : 1326200692 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326200692",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREINER",
    "FirstName": "NICHOLAS",
    "MiddleName": "AUSTIN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 776084",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60677-6084",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "636-893-1360",
    "MailingAddressFaxNumber": "636-893-1362",
    "FirstLinePracticeLocationAddress": "15945 CLAYTON RD STE 210",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALLWIN",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63011-2491",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "368-931-3606",
    "PracticeLocationAddressFaxNumber": "636-893-1362",
    "EnumerationDate": "06/27/2008",
    "LastUpdateDate": "02/01/2024",
    "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": "207QS0010X",
        "TaxonomyName": "Sports Medicine (Family Medicine) Physician",
        "LicenseNumber": "2011005769",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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