NPI Code Detail JSON Logo

1326491457 NPI number — MARISSA PALMER D.C.

NPI Number: 1326491457
Health Care Provider/Practitioner: MARISSA PALMER D.C.

Information about “1326491457” NPI (MARISSA PALMER D.C.) exists in 1326491457 in HTML format HTML  |  1326491457 in plain Text format TXT  |  1326491457 in PDF (Portable Document Format) PDF  |  1326491457 in an XML format XML  formats.

NPI Number : 1326491457 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326491457",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PALMER",
    "FirstName": "MARISSA",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "20687 AMAR RD STE 2",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALNUT",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91789-5045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "13677 FOOTHILL BLVD",
    "SecondLinePracticeLocationAddress": "STE P",
    "PracticeLocationAddressCityName": "FONTANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92335-0214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-766-5397",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/13/2016",
    "LastUpdateDate": "02/21/2017",
    "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": "111N00000X",
        "TaxonomyName": "Chiropractor",
        "LicenseNumber": "33617",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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