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1336214543 NPI number — INTERCONNECTIONS, SC

NPI Number: 1336214543
Health Care Provider/Practitioner: INTERCONNECTIONS, SC

Information about “1336214543” NPI (INTERCONNECTIONS, SC) exists in 1336214543 in HTML format HTML  |  1336214543 in plain Text format TXT  |  1336214543 in PDF (Portable Document Format) PDF  |  1336214543 in an XML format XML  formats.

NPI Number : 1336214543 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336214543",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "INTERCONNECTIONS, SC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "920 60TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KENOSHA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53140-4041",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "262-654-5333",
    "MailingAddressFaxNumber": "262-654-7818",
    "FirstLinePracticeLocationAddress": "920 60TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KENOSHA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53140-4041",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "262-654-5333",
    "PracticeLocationAddressFaxNumber": "262-654-7818",
    "EnumerationDate": "11/22/2006",
    "LastUpdateDate": "11/08/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NICHOLS",
    "AuthorizedOfficialFirstName": "SARAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CO-DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "262-654-5333",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "1440",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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