NPI Code Detail JSON Logo

1336922954 NPI number — ANDREW J ANDERSON

NPI Number: 1336922954
Health Care Provider/Practitioner: ANDREW J ANDERSON

Information about “1336922954” NPI (ANDREW J ANDERSON) exists in 1336922954 in HTML format HTML  |  1336922954 in plain Text format TXT  |  1336922954 in PDF (Portable Document Format) PDF  |  1336922954 in an XML format XML  formats.

NPI Number : 1336922954 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1336922954",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "ANDREW",
    "MiddleName": "J",
    "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": "PO BOX 817",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HARRISON",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48625-0817",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "989-539-2141",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "789 N CLARE AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISON",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48625-8250",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "989-539-2141",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/16/2023",
    "LastUpdateDate": "08/16/2023",
    "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": "171M00000X",
        "TaxonomyName": "Case Manager/Care Coordinator",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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